Individual
IYANA RENE' BASS MCCAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5141 NORTHWIND BLVD APT 105, VALDOSTA, GA 31605-7632
(229) 251-8562
Mailing address
5141 NORTHWIND BLVD APT 105, VALDOSTA, GA 31605-7632
(229) 251-8562
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC005614
GA
101YP2500X
Professional Counselor
Primary
LPC011295
GA
Other
Enumeration date
04/10/2019
Last updated
02/16/2026
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