Individual
MRS. GLORIA HARRIS DAUGHTERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
318 S WELBORN ST, SUITE C, HINESVILLE, GA 31313-3127
(912) 332-5145
(912) 332-5143
Mailing address
318 S WELBORN ST, SUITE C, HINESVILLE, GA 31313-3127
(912) 332-5145
(912) 332-5143
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC005336
GA
101YM0800X
Mental Health Counselor
LPC005336
GA
101YP2500X
Professional Counselor
Primary
LPC005336
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
603509452B
—
GA
Enumeration date
10/15/2008
Last updated
08/07/2012
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