Individual
ELENA ECATERINA BANCIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
2992 PALE OAK TER SW, LILBURN, GA 30047-1835
(404) 808-8644
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC009105
GA
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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