Individual
LTANYA DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
207 OLDE TOWN WAY, MCDONOUGH, GA 30252-6887
(770) 282-4990
Mailing address
207 OLDE TOWN WAY, MCDONOUGH, GA 30252-6887
(770) 282-4990
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC007494
GA
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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