MARYUM HASAN

JONESBORO, GA
NPI1619242856
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-03-21
Last Update Date2012-03-21
Business Address
-- MARYUM HASAN CCAADC
122 CLAXTON CT
JONESBORO, GA 30238-7028
Phone number: 404-388-6114
Mailing Address
-- MARYUM HASAN CCAADC
122 CLAXTON CT
JONESBORO, GA 30238-7028
Phone number: 404-388-6114