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Individual

LEA HUNTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC,MHSP

Contact information

Practice address
605 OSBORNE ST, SAINT MARYS, GA 31558-8410
(912) 825-8488
(912) 341-6794
Mailing address
605 OSBORNE ST, SAINT MARYS, GA 31558-8410
(912) 825-8488

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10081
GA
101YP2500X
Professional Counselor
1920
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003220921A
GA
Enumeration date
04/10/2007
Last updated
06/10/2020
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