Individual
MRS. LA TROLL S. THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1805 OVER LAKE DR SE STE D, CONYERS, GA 30013-1790
(678) 982-4046
Mailing address
PO BOX 269, PORTERDALE, GA 30070-0269
(678) 982-4046
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC003912
GA
Other
Enumeration date
09/18/2008
Last updated
12/01/2024
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