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Contact Information

AFRICAN AMERICAN TASK FORCE FOR SUBSTANCE ABUSE PREVENTION
19 PERRY ST
NEWNAN, GA30263-1918
 Phone: 678-423-3200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
 

Case Management

251B00000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Residential Treatment Facility, Emotionally Disturbed Children

322D00000X
Indicates primary specialty

NPI Profile & details for AFRICAN AMERICAN TASK FORCE FOR SUBSTANCE ABUSE PREVENTION · (Female)

NPI Number 1952562605
Status Active
Credentials
Entity Individual
Enumeration date 06/24/2008
Last updated 11/19/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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