Individual
LILLIAN MALLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, NCC, APC
Contact information
Practice address
925 CANTERBURY RD NE APT 921, ATLANTA, GA 30324-7207
(757) 310-4561
Mailing address
925 CANTERBURY RD NE APT 921, ATLANTA, GA 30324-7207
(757) 310-4561
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC010606
GA
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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