Individual
LANEY DEZANET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3643 WALTON WAY EXT BLDG 4, AUGUSTA, GA 30909-6677
(706) 364-1404
Mailing address
3643 WALTON WAY EXT BLDG 4, AUGUSTA, GA 30909-6677
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC016132
GA
Other
Enumeration date
06/12/2024
Last updated
11/10/2025
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