Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 21046 | DC |
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 804385 | GA |
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 970 | GA |
NPI | 1003350372 |
---|---|
Provider Name | Francine Zakiyyah Drewry |
First Address | Woodstock, GA 30188-7021 |
Second Address | Woodstock, GA 30188-7021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2016 |
Last Update Date | 06/12/2016 |