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Individual

MS. ANA LYLLIAN GUADALUPE MENJIVAR-COUCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
APC0005348
GA
101YP2500X
Professional Counselor
Primary
LPC014193
GA
101YS0200X
School Counselor
793694
GA

Other

Enumeration date
08/03/2018
Last updated
12/20/2024
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