Individual
LEIGHTON GILLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1814 CLAIRMONT RD, DECATUR, GA 30033-3405
(404) 636-1457
(404) 636-7449
Mailing address
1814 CLAIRMONT RD, DECATUR, GA 30033-3405
(404) 636-1457
(404) 636-7449
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008079
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003211974A
—
GA
Enumeration date
09/02/2015
Last updated
03/25/2019
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