Individual
KRISTINA LOGAN LANIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, BS, PATH
Contact information
Practice address
204 S CRAWFORD ST, WAYCROSS, GA 31503-2612
(912) 282-0992
(912) 285-8817
Mailing address
PO BOX 1984, WAYCROSS, GA 31502-1984
(912) 282-0992
(912) 285-8817
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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