| Jeanine Carson, | |
|
311 White Ingram Pkwy, Dallas, GA 30132-0969 | |
| (678) 363-7447 | |
| Not Available |
| Full Name | Jeanine Carson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 311 White Ingram Pkwy, Dallas, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184408312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 01787 (Georgia) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanine Carson, 6060 Ridge Way, Douglasville, GA 30135-3734 Ph: () - | Jeanine Carson, 311 White Ingram Pkwy, Dallas, GA 30132-0969 Ph: (678) 363-7447 |
Mary Elizabeth Krusac, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 Birch River Ct, Dallas, GA 30132 Phone: 678-744-8417 | |
Mr. Joseph Baisden Mickler Iii, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Evans Mill Dr, #305, Dallas, GA 30157 Phone: 770-445-6358 Fax: 770-445-7262 | |
Amanda D Lloyd, APC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 Log Cabin Dr Apt 706, Dallas, GA 30157 Phone: 770-410-8353 | |
Kenneth Rowell, CAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 2713 Charles Hardy Pkwy Ste 233, Dallas, GA 30157 Phone: 855-641-1379 | |
Ms. Christine J. Mezza, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2260 Gold Mine Rd, Dallas, GA 30157 Phone: 678-978-0464 Fax: 770-505-3190 | |
Diana Keys, Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Evans Mill Dr, Dallas, GA 30157 Phone: 678-395-1933 |