Individual
MR. STAN EARNEST LEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., LPC, NCC
Contact information
Practice address
907 S PARK ST STE F, CARROLLTON, GA 30117-4455
(678) 796-1035
Mailing address
907F SOUTH PARK STREET, CARROLLTON, GA 30117
(678) 796-1035
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC003952
GA
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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