Individual
LAUREL JACKSON MCCLENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3169 SPICY CEDAR LN, STONECREST, GA 30038-7160
(510) 322-1341
Mailing address
3169 SPICY CEDAR LN, STONECREST, GA 30038-7160
(510) 322-1341
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC015011
GA
101YP2500X
Professional Counselor
LPCC20416
CA
Other
Enumeration date
09/30/2019
Last updated
09/08/2025
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