Organization
GINA VLASEK, MA, LAPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA VLASEK (OWNER)
(404) 317-4807
Entity
Organization
Contact information
Practice address
2308 PERIMETER PARK DR, SUITE 100, ATLANTA, GA 30341-1316
(770) 457-5577
Mailing address
231 BERKELEY RUN NE, ATLANTA, GA 30342-1362
(404) 317-4807
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005829
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432418745A
—
GA
Enumeration date
03/05/2013
Last updated
03/05/2013
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