Individual
LEEANN ROCHELLE GUMULAUSKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 GLOUCESTER ST STE 117, BRUNSWICK, GA 31520-7030
(912) 244-9919
Mailing address
1093 TAMARA DR SE, DARIEN, GA 31305-4257
(715) 379-3101
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701008515
VA
101YP2500X
Professional Counselor
4949-125
WI
101YP2500X
Professional Counselor
Primary
LPC013249
GA
Other
Enumeration date
11/29/2012
Last updated
10/18/2024
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