Individual
SUZANNE STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CACII
Contact information
Practice address
2318 BROWNS BRIDGE RD, GAINESVILLE, GA 30504-6041
(770) 531-4950
Mailing address
1283 WESSELL RD NW, GAINESVILLE, GA 30501-2843
(770) 519-8387
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3408
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3408
SELF-PAY
GA
Enumeration date
06/09/2020
Last updated
06/09/2020
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