Individual
MRS. LAUREN MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
310 PAPER TRAIL WAY STE 108, CANTON, GA 30115-5204
(678) 880-4645
Mailing address
308 NEW POINT LN, CANTON, GA 30114-3593
(678) 735-1920
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC011492
GA
Other
Enumeration date
09/05/2021
Last updated
09/05/2021
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