Individual
LAKISHA MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
263 ATLANTA AVE, MENLO, GA 30731-6221
(478) 228-2028
Mailing address
263 ATLANTA AVE, MENLO, GA 30731-6221
(478) 228-2028
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC012240
GA
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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