Individual
MRS. COURTENAY TURQUEA GONZALEZ AUGUSTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1540 VIRGIL MOON RD, LOGANVILLE, GA 30052-2548
(770) 722-8262
Mailing address
1970 MAIN ST E STE B25, SNELLVILLE, GA 30078-6463
(770) 609-9092
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC013934
GA
Other
Enumeration date
07/14/2023
Last updated
07/17/2023
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