Individual
LASHUNDRA VINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11285 ELKINS RD STE F1B, ROSWELL, GA 30076
(470) 359-3147
Mailing address
5618 UNION POINTE DR, UNION CITY, GA 30291-1650
(678) 463-6053
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
18384
CA
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
06/26/2009
Last updated
01/10/2025
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