Individual
AYANA DOMINGO-HANSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2369 PARK ESTATES DR, SNELLVILLE, GA 30078-6852
(678) 663-5058
Mailing address
PO BOX 392353, SNELLVILLE, GA 30039-0040
(678) 663-5058
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC009633
GA
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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