Individual
STARKISHA NICOLE BELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADCII, MATS, CCS,
Contact information
Practice address
PO BOX 195, BOSTON, GA 31626-0195
(229) 289-2252
Mailing address
PO BOX 195, BOSTON, GA 31626-0195
(229) 289-2252
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0533
GA
101YP2500X
Professional Counselor
104
GA
Other
Enumeration date
06/22/2024
Last updated
06/22/2024
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