Individual
KAELA LANIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 N BAY OVERLOOK, VILLA RICA, GA 30180-5146
(631) 671-2295
Mailing address
840 N BAY OVERLOOK, VILLA RICA, GA 30180-5146
(631) 671-2295
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NY
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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