Individual
LASHLEY SUSANNE RALEIGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
315 COMMERCIAL DR, SAVANNAH, GA 31406-3628
(912) 777-2713
(912) 335-3927
Mailing address
8000 WATERS AVE APT 183, SAVANNAH, GA 31406-4972
(912) 777-2713
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052202604
DRIVER'S LICENSE
GA
Enumeration date
01/29/2016
Last updated
01/19/2023
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