TIFFANY SHULONDA MITCHELL

DALLAS, GA
NPI1699497784
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA  1299)
Enumeration Date2022-09-15
Last Update Date2022-09-15
Business Address
TIFFANY SHULONDA MITCHELL CADCII, ICADC
311 WHITE INGRAM PKWY STE 500
DALLAS, GA 30132-0972
Phone number: 678-363-7447
Mailing Address
TIFFANY SHULONDA MITCHELL CADCII, ICADC
250 GEORGIA AVE E UNIT 142504
FAYETTEVILLE, GA 30214-5529
Phone number: 678-949-0763