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Michael O'bannon
Peer Specialist in Snellville, Georgia
NPI 1750771531

Michael O'bannon is a Peer Specialist based in Snellville, GA. Michael O'bannon practices in Snellville, GA. The NPI Number for Michael O'bannon is 1750771531 and holds a License No. 175T00000X (Georgia).

The current practice location address for Michael O'bannon is 3708 Chinaberry Ln, Snellville, GA and can be reached out via phone at 678-768-4096.

Location: 3708 Chinaberry Ln, Snellville, GA, 30039-4053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750771531
Provider Name
Michael O'bannon
Credential
Provider Entity Type
Individual
Gender
Male
Address
3708 Chinaberry Ln, Snellville, GA, 30039-4053
Phone Number
678-768-4096
Fax Number
Provider Enumeration Date
01/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3708 Chinaberry Ln
City
Snellville
State
Georgia
Zip
30039-4053
Phone Number
678-768-4096
Fax Number
person
Provider Business Mailing Address Details
Address
3708 Chinaberry Ln
City
Snellville
State
Georgia
Zip
30039-4053
Phone Number
678-768-4096
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
175T00000X (Georgia)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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