Individual
MS. DEBBIE JEAN CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CADC II
Contact information
Practice address
6132 HAWKINSVILLE RD, MACON, GA 31216-5848
(478) 788-0066
(478) 788-3104
Mailing address
6132 HAWKINSVILLE RD, MACON, GA 31216-5848
(478) 788-0066
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1286
GA
Other
Enumeration date
10/24/2019
Last updated
04/06/2021
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