Individual
LYDIA WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., ED.S. LPC
Contact information
Practice address
1301 SHILOH RD NW STE 710, KENNESAW, GA 30144-7157
(404) 242-8692
Mailing address
132 PARK AVE E, DALLAS, GA 30157-2181
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC016038
GA
Other
Enumeration date
05/11/2023
Last updated
11/02/2025
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