Individual
JUANITA DARLENE TONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, Q-SAP
Contact information
Practice address
747 BATTLEFIELD PKWY, STE 1458 2B, FT OGLETHORPE, GA 30742-3923
(423) 322-2360
(423) 874-1993
Mailing address
5818 N PARK RD, HIXSON, TN 37343-4619
(423) 874-1993
(423) 874-1993
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC0000002430
TN
101YP2500X
Professional Counselor
Primary
LPC005301
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160416020A
—
GA
Enumeration date
05/11/2009
Last updated
12/14/2010
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