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RANDELL ARMOND MORGAN CAC II, GCADC II

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

Registrant NPI Number: 1790320711

Individual Registrant:
 RANDELL ARMOND MORGAN CAC II, GCADC II
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1194 147TH ST STE 5  MONTICELLO, GA 31064-8068 US
Tel: 678-270-8284  Fax: --

Contact information for business:
2467 ROSEBERRY LN  GRAYSON, GA 30017-1555 US
Tel: 678-215-3468  Fax: --

Registration Information:
NPI: 1790320711
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
GA3027

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
I DONT HAVE ANY NUMBERS00000000001




HEALTH CARE JOBS GA - Page 1



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