Individual
LANIEA GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
337 S WALNUT ST, STATESBORO, GA 30458-5418
(912) 225-3769
Mailing address
106 ARLEN DR, MIDWAY, GA 31320-4297
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC011184
GA
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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