Individual
MS. DONALYN GILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2151 PEACHFORD RD, ATLANTA, GA 30338-6534
(678) 667-3639
Mailing address
PO BOX 512, STONE MOUNTAIN, GA 30086-0512
(678) 667-3639
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004315
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
442020535A
—
GA
Enumeration date
07/24/2007
Last updated
11/09/2011
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