Evelyn Simone Alexander, MSW,CIT

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Buford, GA

NPI 1720558208 · NPPES record last updated Nov 28, 2018

Key facts

NPI
1720558208
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
4271 S Lee St
Buford, GA 30518-3710
Phone
(678) 765-8160
NPI assigned
Nov 28, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X GA Yes

Addresses

Primary practice location

4271 S Lee St
Buford, GA 30518-3710

Mailing address

4271 S Lee St
Buford, GA 30518-3710
Phone (678) 765-8160

Other providers in Buford, GA

All providers in Buford, GA · Addiction (Substance Use Disorder) Counselor in Georgia

Sources for this page

Verify at the official NPI Registry.