Individual
SHIRLEY ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAC-CAC III
Contact information
Practice address
406 BRANCH RD, ALBANY, GA 31705-5301
(229) 395-5480
Mailing address
406 BRANCH RD, ALBANY, GA 31705-5301
(229) 395-5480
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
31939
GA
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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