Individual
MS. AMY JO BARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ICCAADC, MSSW
Contact information
Practice address
1875 FANT DR, FORT OGLETHORPE, GA 30742-3307
(706) 806-1120
Mailing address
1875 FANT DR, FORT OGLETHORPE, GA 30742-3307
(706) 806-1120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C0098
GA
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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