Individual
MRS. CANZADA TWYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 CHAPEL HILL RD, SUITE 100, DOUGLASVILLE, GA 30135-1739
(678) 741-5302
Mailing address
3645 MARKETPLACE BLVD, #130 - 224, EAST POINT, GA 30344-5747
(404) 462-6831
(202) 521-9903
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CERTIFICATION:C0062
GA
101YM0800X
Mental Health Counselor
CERTIFICATION:CPD002
GA
101YP1600X
Pastoral Counselor
ORDAINED
GA
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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