Individual
MRS. OLIVIA R GORDON-THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 S CULVER ST, LAWRENCEVILLE, GA 30046-4806
(678) 807-9594
Mailing address
898 SWEET BRIAR TRL SE, CONYERS, GA 30094-3854
(678) 807-9594
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC014842
GA
101YP2500X
Professional Counselor
LPC014842
GA
Other
Enumeration date
08/08/2018
Last updated
08/30/2024
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