Individual
LANTA L CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3996 CLAIRMONT RD, ATLANTA, GA 30341-4938
(770) 823-7047
Mailing address
316 VALLEYBROOK XING, DECATUR, GA 30033-5847
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
APC 004159
GA
101YP2500X
Professional Counselor
Primary
LPC009563
GA
Other
Enumeration date
12/06/2013
Last updated
06/08/2017
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