Individual
DR. CASSAUNDRA LINETTE GOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5755 BELMONT RIDGE CIR, LITHONIA, GA 30038-4073
(678) 386-5372
Mailing address
5755 BELMONT RIDGE CIR, LITHONIA, GA 30038-4073
(678) 386-5372
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC006231
GA
103T00000X
Psychologist
Primary
PSY004382
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00313788A
—
GA
01
—
12471700
CAQH
GA
Enumeration date
07/26/2012
Last updated
04/26/2022
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