Individual
MIRIAM A ROPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-1
Contact information
Practice address
20 COMMERCE DR, BLAIRSVILLE, GA 30512-8913
(706) 781-6987
(706) 781-3026
Mailing address
20 COMMERCE DR, BLAIRSVILLE, GA 30512-8913
(706) 781-6987
(706) 781-3026
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1346
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316186968
—
GA
Enumeration date
12/22/2020
Last updated
12/22/2020
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