Individual
MS. ELAINA CHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
111 N MCDONOUGH ST, DECATUR, GA 30030-3317
(404) 446-6083
Mailing address
P.O. BOX 3783, DECATUR, GA 30030
(404) 446-6083
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC005120
GA
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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