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Tiffany Shulonda Mitchell, CADCII, ICADC Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Dallas, GA

NPI
1699497784
Type
Individual (Type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor (Counselor)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
101YA0400X
License number
1299 (GA)
Sex
Female
Sole proprietor
Yes
Enumerated
2022-09-15
Last updated
2022-09-15
Practice location
311 White Ingram Pkwy Ste 500
Dallas, GA 30132-0972
(678) 363-7447

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