Individual
LACELL ALEXIS JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2843 BLOUNT ST, EAST POINT, GA 30344-3732
(678) 596-8632
Mailing address
2843 BLOUNT ST, EAST POINT, GA 30344-3732
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007498
GA
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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