Individual
MRS. CHARKELA JENEA GASTON MOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S., LPC, NCC
Contact information
Practice address
100 UNIVERSITY PKWY, MACON, GA 31206-5145
(478) 471-2985
(478) 471-5730
Mailing address
100 UNIVERSITY PKWY, MACON, GA 31206-5145
(478) 471-2985
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
APC005189
GA
101YP2500X
Professional Counselor
Primary
LPC009996
GA
Other
Enumeration date
11/15/2016
Last updated
01/25/2019
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