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FAYE ANN BUFFALOE CAC II, CCS

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

Registrant NPI Number: 1023454105

Individual Registrant:
 FAYE ANN BUFFALOE CAC II, CCS
Gender: F
Sole Proprietor

Location and contact information for practice:
4854 OLD NATIONAL HWY SUITE 226 COLLEGE PARK, GA 30337-6221 US
Tel: 404-312-7862  Fax: 770-774-1039

Contact information for business:
4854 OLD NATIONAL HWY SUITE 226 COLLEGE PARK, GA 30337-6221 US
Tel: 404-312-7862  Fax: 770-774-1039

Registration Information:
NPI: 1023454105
Entity Type: Individual

Specialty information:

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

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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