Organization
LARA ALBANESE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA E. ALBANESE LPC004638 (LPC)
(678) 346-1233
Entity
Organization
Contact information
Practice address
4343 SHALLOWFORD RD. SUITE C2, MARIETTA, GA 30062
(678) 346-1233
(770) 993-9800
Mailing address
4343 SHALLOWFORD RD. SUITE C2, MARIETTA, GA 30062
(678) 346-1233
(770) 993-9800
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003148245A
—
GA
Enumeration date
12/04/2015
Last updated
12/04/2015
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