Individual
LANEE' SAMBOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2795 W MAIN ST STE 19A, SNELLVILLE, GA 30078-3072
(678) 408-1335
Mailing address
3464 RIVER MILL LN, ELLENWOOD, GA 30294-1360
(404) 580-7407
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC015582
GA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/23/2021
Last updated
03/26/2025
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