Individual
KAJUNA CHANEL WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADCII
Contact information
Practice address
30 LILA WAY, CARTERSVILLE, GA 30120-7959
(678) 523-8034
Mailing address
30 LILA WAY, CARTERSVILLE, GA 30120-7959
(678) 523-8034
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1438
GA
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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