Individual
STACY RENEE HOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC1
Contact information
Practice address
2607 LEDO RD, ALBANY, GA 31707-1211
(229) 903-0022
(229) 903-0025
Mailing address
2607 LEDO RD, ALBANY, GA 31707-1211
(229) 903-0022
(229) 903-0025
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1032
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032
—
GA
Enumeration date
03/22/2018
Last updated
03/22/2018
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