Individual
AMANDA LOVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5001 W SHORE DR SW, CONYERS, GA 30094-4719
(404) 456-0065
Mailing address
5055 E SHORE DR SW, CONYERS, GA 30094-4711
(404) 456-0065
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
011573
GA
Other
Enumeration date
10/23/2014
Last updated
06/26/2024
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