Zenobia Bass, CACII

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

NPI 1770045593 · NPPES record last updated Apr 1, 2019

Key facts

NPI
1770045593
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
2140 McGee Rd Ste C330
Snellville, GA 30078-2985
Phone
(404) 808-4193
Fax
(678) 514-2183
NPI assigned
Apr 1, 2019
Sex
Female
Sole proprietor
Yes

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 Yes

Addresses

Primary practice location

2140 McGee Rd Ste C330
Snellville, GA 30078-2985

Mailing address

2140 McGee Rd Ste C330
Snellville, GA 30078-2985
Phone (404) 808-4193

Other providers in Snellville, GA

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

Sources for this page

Verify at the official NPI Registry.