Individual
KAYLAN MALONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
3552 HABERSHAM AT NORTHLAKE, TUCKER, GA 30084-4009
(404) 862-4332
Mailing address
3465 DULUTH HWY APT 3513, DULUTH, GA 30096-3437
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC007409
GA
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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