Individual
MELINDA LEA CZECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1309 SUNSET CIR, STATESBORO, GA 30458-1575
(912) 250-5802
Mailing address
PO BOX 3045, STATESBORO, GA 30459-3045
(912) 250-5802
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC012438
GA
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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