Individual
GERINDA LOCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3040 RIVERSIDE DR, STE D-5, MACON, GA 31210-2521
(478) 757-4800
(478) 757-4888
Mailing address
3665 CLUB DR, STE 107, DULUTH, GA 30096-1806
(678) 288-6550
(800) 609-0965
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005950
GA
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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