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Individual

ALLISON VENOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
19 CHASE WAY, DALLAS, GA 30132-2994
(678) 462-7746
Mailing address
457 NATHAN DEAN BLVD STE 105, DALLAS, GA 30132-4922

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APC007462
GA
101YM0800X
Mental Health Counselor
Primary
LPC013695
GA

Other

Enumeration date
10/14/2022
Last updated
05/18/2023
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