Modzeleski, Edward A

Modzeleski, Edward A is an sole proprietor health care provider with primary practice located at 2750 Old Alabama Rd C/O The Summit Counseling, Alpharetta GA 30022-8593. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Modzeleski, Edward A can be contacted via phone (678) 893-5300.

Contact Information

Primary practice address
2750 Old Alabama Rd C/O The Summit Counseling Alpharetta GA 30022-8593
Phone: (678) 893-5300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1124374293
LBN Legal business name Modzeleski, Edward A
Credentials CACII, CCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2012
Last updated Jul 26th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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