institution
Willow Creek Adolescent Substance Abuse Program
Addiction (Substance Use Disorder) Counselor in Ellijay, Georgia
NPI 1114174331

Willow Creek Adolescent Substance Abuse Program is an Addiction (Substance Use Disorder) Counselor based in Ellijay, GA and is specialized in Addiction (Substance Use Disorder). Willow Creek Adolescent Substance Abuse Program practices in Ellijay, GA. The NPI Number for Willow Creek Adolescent Substance Abuse Program is 1114174331 and holds a License No. LPC003706 (Georgia).

The current practice location address for Willow Creek Adolescent Substance Abuse Program is 10 Kiker St, Ellijay, GA and can be reached out via phone at 706-636-2692 and via fax at 706-636-2694.

Location: 10 Kiker St, Ellijay, GA, 30540-3700
institution
Provider Profile Details
NPI Number
1114174331
Provider Name
Willow Creek Adolescent Substance Abuse Program
Credential
Provider Entity Type
Organization
Address
10 Kiker St, Ellijay, GA, 30540-3700
Phone Number
706-636-2692
Fax Number
706-636-2694
Provider Enumeration Date
08/19/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10 Kiker St
City
State
Zip
30540-3700
Phone Number
706-636-2692
Fax Number
706-636-2694
person
Provider Business Mailing Address Details
Address
10 Kiker St
City
State
Zip
30540-3700
Phone Number
706-636-2692
Fax Number
706-636-2694
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LPC003706 (Georgia)
Definition
Definition to come...
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