Julius Agbor
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Cartersville, GA
NPI 1609514660 · NPPES record last updated May 20, 2022
Key facts
- NPI
- 1609514660
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 218 Stonewall St
Cartersville, GA 30120-3628 - Phone
- (770) 386-1907
- NPI assigned
- May 20, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cartersville Center, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
218 Stonewall St
Cartersville, GA 30120-3628
Mailing address
218 Stonewall St
Cartersville, GA 30120-3628
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All providers in Cartersville, GA · Addiction (Substance Use Disorder) Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.