Individual
LULA VARIST GHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CHRISTIAN COUNSEL
Contact information
Practice address
CHRISTIAN COUNSELOR MA LOU GHOLSON, 549 LAMAR DRIVE, FOREST PARK, GA 30294
(404) 254-4643
Mailing address
CHRISTIAN COUNSELOR LOU V GHOLSON, 4298 CLARION, CONLEY, GA 30288
(404) 783-7962
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
06192021
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06192021
BOARD OF EXAMINERS FOR GEORGIA CHRISTIAN COUNSELORS AND THERAPISTS
GA
Enumeration date
10/04/2019
Last updated
10/04/2019
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