Individual
LORETTA JEAN LEVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4145 COLUMBIA RD, AUGUSTA, GA 30907-5400
(706) 869-7373
Mailing address
5072 WELLS DR, EVANS, GA 30809-7036
(410) 725-0138
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC010571
GA
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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