Individual
LEA CHANEL MCQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
1777 NORTHEAST EXPY NE, BROOKHAVEN, GA 30329-2480
(404) 785-7878
(404) 785-7874
Mailing address
1777 NORTHEAST EXPY NE, BROOKHAVEN, GA 30329-2480
(404) 785-7878
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
LPC014986
GA
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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