Individual
LANOTA FLUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
690 COURTENAY DR NE, ATLANTA, GA 30306-3421
(404) 626-5940
Mailing address
690 COURTENAY DR NE, ATLANTA, GA 30306-3421
(404) 626-5940
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC010969
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC010969
LPC
GA
Enumeration date
05/28/2019
Last updated
06/11/2019
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