Doctor Name: | MRS. VERONICA KHADIJAH STROUD-MCCOTTRIE |
NPI Number: | 1013127661 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NCAC II, CCS, SAM |
License Number: | 1725-R |
Business Practice Address: | 215 Kirkland Rd Covington, GA - 300163318 |
Business Phone Number: | 6787299900 |
Business Fax Number: | 6787299904 |
Mailing Address: | 35 Green Commons Drive, COVINGTON |
State: | GA |
Postal Code: | 30016 |
Phone Number: | 7703563685 |
Fax Number: | 6783424073 |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1725-R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |