Individual
CHANTAY YOLANDA GOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CAMS
Contact information
Practice address
3400 CHAPEL HILL RD, DOUGLASVILLE, GA 30135-1739
(770) 280-7288
(770) 983-6098
Mailing address
PO BOX 1086, VILLA RICA, GA 30180-6086
(770) 280-7288
(770) 983-6098
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
007288
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003126621A
—
GA
Enumeration date
05/24/2012
Last updated
05/01/2020
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