IndividualActive
Andre Mcdaniel
NPI 1396092953 · Addiction (Substance Use Disorder) Counselor · College Park, GA
Provider details
- NPI number
- 1396092953
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- GA55492 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
5524 Old National Hwy
Ste B
College Park, GA 30349-3212
Phone: (404) 763-8555
Fax: (404) 763-8502
Approximate (ZIP-level) locationGet directions
Mailing address
4132 Atlanta Hwy
Loganville, GA 30052-4930
Registry dates
- Enumerated
- 2012-08-13
- Last updated
- 2012-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.