Individual
HEIDI O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
316 SIMPSON PL, VALDOSTA, GA 31602-1372
(229) 412-5005
Mailing address
316 SIMPSON PL, VALDOSTA, GA 31602-1372
(229) 412-5005
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009895
GA
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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