Individual
JOY STANDRIDGE MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
243 S CULVER ST, LAWRENCEVILLE, GA 30046-4805
(678) 313-4493
Mailing address
1580 PEACHCREST DR, LAWRENCEVILLE, GA 30043-2873
(678) 313-4493
(678) 207-2904
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
006600
GA
101YM0800X
Mental Health Counselor
Primary
LPC006600
GA
Other
Enumeration date
07/03/2012
Last updated
01/29/2020
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