Individual
MS. KEISHA LATONYA BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
135 BRADFORD SQ STE A, FAYETTEVILLE, GA 30215-1902
(678) 489-8072
(404) 537-1045
Mailing address
135 BRADFORD SQ STE A, FAYETTEVILLE, GA 30215-1902
(678) 489-8072
(404) 537-1045
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
APC001712
GA
101YP2500X
Professional Counselor
Primary
LPC005425
GA
Other
Enumeration date
02/21/2008
Last updated
05/29/2024
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