Individual
MRS. AUDREY REBECCA LANIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LMFT
Contact information
Practice address
1640 POWERS FERRY RD SE STE 150, MARIETTA, GA 30067-5491
(770) 726-9624
Mailing address
1640 POWERS FERRY RD SE STE 150, MARIETTA, GA 30067-5491
(770) 726-9624
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC013558
GA
106H00000X
Marriage & Family Therapist
Primary
LMFT001996
GA
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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