Individual
LAUREN MICHELLE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CIT
Contact information
Practice address
890 NORTHWOOD PLAZA, MACON, GA 31204-3120
(478) 330-7164
Mailing address
890 NORTHWOOD PLAZA, MACON, GA 31204
(478) 951-8753
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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