Individual
MARIE LYNETTE RUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPS-MH/AD
Contact information
Practice address
1355 HOLLY BROOK RD, SNELLVILLE, GA 30078-2217
(330) 414-5722
Mailing address
1355 HOLLY BROOK RD, SNELLVILLE, GA 30078-2217
(330) 414-5722
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/19/2018
Last updated
07/30/2024
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