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DEBRA MINNEMAN CADCII

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1659995363

Individual Registrant:
 DEBRA  MINNEMAN CADCII
Gender: F
Sole Proprietor

Location and contact information for practice:
9 PARK ST  CAVE SPRING, GA 30124-2713 US
Tel: 470-334-9200  Fax: --

Contact information for business:
9 PARK ST  CAVE SPRING, GA 30124-2713 US
Tel: 470-334-9200  Fax: --

Registration Information:
NPI: 1659995363
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
GA1422

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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