Individual
MEGAN E. LAVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
102 LAKESHORE DR STE B, SAINT MARYS, GA 31558-3875
(912) 882-3800
(912) 882-3303
Mailing address
2762 FOREST RIDGE DR, FERNANDINA BEACH, FL 32034-0411
(270) 791-6656
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC011638
GA
225700000X
Massage Therapist
MT011078
GA
Other
Enumeration date
05/24/2017
Last updated
06/27/2022
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