Individual
ANDREA MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
104 HARWELL AVE, LAGRANGE, GA 30240-3132
(706) 837-0045
Mailing address
104 HARWELL AVE, LAGRANGE, GA 30240-3132
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC010137
GA
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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