Individual
LARKETTEI BURLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAC I
Contact information
Practice address
367 RICHARDSON RD SE, CALHOUN, GA 30701-3619
(800) 805-6989
Mailing address
18 LOMBARDY WAY SE, ROME, GA 30161-6806
(706) 266-7324
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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