Individual
MARTA NEMETH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAPC, CADC II
Contact information
Practice address
213 WALL BRIDGE RD, CLARKESVILLE, GA 30523-4613
(706) 768-2452
Mailing address
213 WALL BRIDGE RD, CLARKESVILLE, GA 30523-4613
(706) 768-2452
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC007659
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
0988
GA
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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