Individual
NICOLE L MASON DYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
925 SANDERS RD STE B, CUMMING, GA 30041-7945
(678) 261-7671
Mailing address
925 SANDERS RD STE B, CUMMING, GA 30041-7945
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3499
GA
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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