Individual
ANGELA DAVIS LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
235 PEACHTREE ST, 400 NORTH TOWER, ATLANTA, GA 30303-1401
(404) 457-3713
Mailing address
PO BOX 20072, ATLANTA, GA 30325-0072
(404) 457-3713
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0003966
GA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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