Individual
LASHONDA LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3729 MAIN ST, COLLEGE PARK, GA 30337-3544
(470) 610-1754
Mailing address
3729 MAIN ST, COLLEGE PARK, GA 30337-3544
(470) 610-1754
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009496
GA
Other
Enumeration date
07/22/2014
Last updated
10/24/2022
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