NPI 1083419436

Grant Allison, CADCII

Practitioner Addiction (Substance Use Disorder) Counselor Senoia, GA

Practice location

Address: 105 Autumn Crk, Senoia, GA 30276-1557
Phone: (770) 301-4622

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 01719 (GA)

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Registry record

NPI: 1083419436
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Feb 2025
Record last updated: 18 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.