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Individual
MS. SUSAN LANI WALSH
Active
Individual
MS. SUSAN LANI WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MAC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC002039
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC002039
GA
101YM0800X
Mental Health Counselor
LPC002039
GA
101YP2500X
Professional Counselor
Primary
LPC002039
GA
Other
Enumeration date
09/22/2013
Last updated
09/22/2013
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