Individual
LUKAS ALEXANDER WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1875 FANT DR, FORT OGLETHORPE, GA 30742-3300
(706) 806-3387
Mailing address
302 WEBB WHEELER RD, LA FAYETTE, GA 30728-3099
(706) 996-3090
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT002020
GA
Other
Enumeration date
01/06/2023
Last updated
08/10/2024
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