Individual
IJUANA LANDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
317 W HILL ST, 205, DECATUR, GA 30030-4367
(404) 314-5259
Mailing address
3550 CENTERVILLE HWY, 107 #120, SNELLVILLE, GA 30039-4133
(404) 314-5259
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC002276
GA
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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