Individual
MICHELLE MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CPRP
Contact information
Practice address
11 N COLLEGE ST, STATESBORO, GA 30458-5306
(912) 764-9868
(912) 764-5066
Mailing address
13758 HWY 169, GLENNVILLE, GA 30427-7202
(912) 764-9868
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC007892
GA
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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