Individual
KOURTNEY K BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8015 CHAPMAN TER, MCDONOUGH, GA 30252-8604
(229) 869-6035
Mailing address
1209 GREENBELT DR, GRIFFIN, GA 30224-4507
(229) 869-6035
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
011176
GA
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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