Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KONRAD DEISS
ActiveAddiction (Substance Use Disorder) Counselor · LAGRANGE, GA
Registration Details
- NPI Number
- 1437646064
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2018 (8.0156073221006 yrs)
- Last Updated
- Apr 19, 2018
- License
-
1219 (GA)
Practice Information
- Address
-
229 S DAVIS RD STE 900LAGRANGE, GA, 302412609Browse GA providers · Browse ZIP 30241
- Phone
- 4706862225
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in LAGRANGE, GA
| Name | Credential | NPI |
|---|---|---|
| WAYDE JENNINGS WASHBURN | CAC II, NCAC I | 1437448362 |
| KATHLEEN HENNRICH | — | 1679982011 |
| SHERRI AFOLABI | — | 1417460270 |
| CAMILLE CLEMONS | — | 1316450182 |
| SAYSHA BUCHANAN | — | 1760979942 |
| KATHERINE AMANDA PARKS | CAADC | 1881151769 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.