Individual
DEIDRE LONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
617 HILLANDALE PARK DR, LITHONIA, GA 30058-8836
(404) 229-5985
Mailing address
3035 STONE MOUNTAIN ST UNIT 2122, LITHONIA, GA 30058-1121
(470) 782-1954
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC009643
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009643
LPC
GA
Enumeration date
05/13/2021
Last updated
03/22/2023
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