Individual
LAURIE G BEALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1501 JOHNSON FERRY RD, SUITE 100, MARIETTA, GA 30062-6496
(770) 677-9300
(770) 953-0807
Mailing address
1501 JOHNSON FERRY RD, SUITE 100, MARIETTA, GA 30062-6496
(770) 677-9300
(770) 953-0807
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
004662
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC004662
LPC
GA
Enumeration date
08/13/2008
Last updated
08/13/2008
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