Individual
RAMON PALACIOS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC LEVEL I
Contact information
Practice address
109 ANDERSON ST SE STE 101, MARIETTA, GA 30060-8610
(470) 377-6650
Mailing address
2654 IRENE DR, MARIETTA, GA 30066-5416
(208) 946-0344
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3519-R
GA
Other
Enumeration date
10/10/2018
Last updated
04/19/2021
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