Individual
LORENA MALAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
4116 WIEUCA RD NE, ATLANTA, GA 30342-3847
(762) 685-3623
Mailing address
4116 WIEUCA RD NE, ATLANTA, GA 30342-3847
(762) 685-3623
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APC007050
GA
101YM0800X
Mental Health Counselor
Primary
LPC013311
GA
Other
Enumeration date
08/16/2021
Last updated
02/16/2023
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