Individual
CHRISTOPHER M CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
GCADC-I
Contact information
Practice address
2007 OLD LAFAYETTE RD, FORT OGLETHORPE, GA 30742-3510
(706) 866-4740
Mailing address
2007 OLD LAFAYETTE RD, FORT OGLETHORPE, GA 30742-3510
(706) 866-4740
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
G0097
GA
Other
Enumeration date
06/06/2024
Last updated
07/16/2024
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