Individual
CLIFFORD MAMPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 323-0174
Mailing address
1830 OAK GROVE RD, PINE MOUNTAIN, GA 31822-4558
(706) 594-7787
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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