Individual
MS. DEANDRIA ANTONEASE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC, MAC
Contact information
Practice address
750 DALRYMPLE RD, APT. C-4, ATLANTA, GA 30328-1446
(404) 433-6414
Mailing address
750 DALRYMPLE RD, APT. C-4, ATLANTA, GA 30328-1446
(404) 433-6414
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
510199
GA
101YP2500X
Professional Counselor
Primary
LPC008011
GA
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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