Individual
MAUREEN P NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
424 PINE DR, PINE LAKE, GA 30072-3007
(404) 713-0488
Mailing address
PO BOX 716, PINE LAKE, GA 30072-0716
(404) 713-0488
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
APC005214
GA
101Y00000X
Counselor
APC005412
GA
101YP2500X
Professional Counselor
Primary
LPC005412
GA
Other
Enumeration date
03/06/2018
Last updated
01/09/2023
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