EDWARD A MODZELESKI

ALPHARETTA, GA
NPI1124374293
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-07-26
Last Update Date2012-07-26
Business Address
-- EDWARD A MODZELESKI CACII, CCS
2750 OLD ALABAMA RD C/O THE SUMMIT COUNSELING
ALPHARETTA, GA 30022-8593
Phone number: 678-893-5300
Mailing Address
-- EDWARD A MODZELESKI CACII, CCS
501 HARBOR LNDG
ROSWELL, GA 30076-3113
Phone number: 770-313-3653