Individual
GAIL VENERABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC/CADC-II/ICADC
Contact information
Practice address
235 E PONCE DE LEON AVE, SUITE 305, DECATUR, GA 30030-3452
(770) 905-1291
(678) 668-7222
Mailing address
235 E PONCE DE LEON AVE, SUITE 305, DECATUR, GA 30030-3452
(770) 905-1291
(678) 668-7222
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC-II 1827
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CADC-II 664
GA
101YP2500X
Professional Counselor
Primary
LPC009133
GA
Other
Enumeration date
01/29/2015
Last updated
08/08/2016
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