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Individual

MS. LELA C. BALBONI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1790 LAVISTA RD NE, EMMANUAL CENTER, ATLANTA, GA 30329-3604
(404) 467-8643
(404) 812-3101
Mailing address
2950 MOUNT WILKINSON PKWY SE, UNIT 908, ATLANTA, GA 30339-3637
(404) 467-8643
(404) 812-3101

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005764
GA

Other

Enumeration date
03/10/2011
Last updated
03/10/2011
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