Individual
PATRICIA AVE-LALLEMANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3349 ASBURY SQ, ATLANTA, GA 30346-2419
(678) 923-6221
Mailing address
PO BOX 88673, ATLANTA, GA 30356-8673
(678) 923-6221
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0958
GA
106H00000X
Marriage & Family Therapist
Primary
MFT001203
GA
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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