Individual
JANET AUDREY MCCOLLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
501 MIZE ST., LAFAYETTE, GA 30728
(706) 638-5580
(706) 638-5445
Mailing address
12580 NORTH MAIN ST, TRENTON, GA 30752
(706) 657-7501
(706) 657-8005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC001689
GA
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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