Individual
CARRIE LUCINDA ELROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2146 CLARK ST SW, COVINGTON, GA 30014-2231
(678) 712-6898
(678) 666-0663
Mailing address
7241 WOODLAND AVE SE, COVINGTON, GA 30014-3942
(678) 712-6898
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006509
GA
Other
Enumeration date
09/20/2011
Last updated
03/11/2020
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