person
Mr. Mike Latella, CADC-II
Addiction (Substance Use Disorder) Counselor in Peachtree City, Georgia
NPI 1629624382

Mike Latella is an Addiction (Substance Use Disorder) Counselor based in Peachtree City, GA and is specialized in Addiction (Substance Use Disorder). Mike Latella practices in Peachtree City, GA and has the professional credentials of CADC-II. The NPI Number for Mike Latella is 1629624382 and holds a License No. 1241 (Georgia).

The current practice location address for Mike Latella is 111 Petrol Pt Ste A-3, Peachtree City, GA and can be reached out via phone at 678-568-9049.

Location: 111 Petrol Pt Ste A-3, Peachtree City, GA, 30269-1550
person
Provider Profile Details
NPI Number
1629624382
Provider Name
Mike Latella
Credential
CADC-II
Provider Entity Type
Individual
Gender
Male
Address
111 Petrol Pt Ste A-3, Peachtree City, GA, 30269-1550
Phone Number
678-568-9049
Fax Number
Provider Enumeration Date
08/16/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3918 01 GA GA CERTIFIED DRUG AND ALCOHOL EVALUATOR NUMBER
EO56 01 GA CERTIFIED TELE-MEDICAL ELECTRONIC DRUG AND ALCOHOL COUNSELOR
1241 01 GA GA CERTIFIED ALCOHOL AND DRUG COUNSELOR LEVEL II NUMBER
809429 01 GA INTERNATIONALLY CERTIFIED ALCOHOL AND DRUG COUNSELOR
institution
Provider Business Practice Location Address Details
Address
111 Petrol Pt Ste A-3
City
State
Zip
30269-1550
Phone Number
678-568-9049
Fax Number
person
Provider Business Mailing Address Details
Address
111 Petrol Pt Ste A-3
City
State
Zip
30269-1550
Phone Number
678-568-9049
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1241 (Georgia)
Definition
Definition to come...
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