Individual
MS. CHANDRA BLAKELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
215 LAKEWOOD WAY, SUITE 205, ATLANTA, GA 30315
(678) 335-9010
Mailing address
215 LAKEWOOD WAY, SUITE 205, ATLANTA, GA 30315
(678) 335-9010
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005008
GA
Other
Enumeration date
03/19/2008
Last updated
10/24/2014
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