MRS. Lakita Renell Long, LPC

NPI #1598197535 in Perry, Georgia

Provider Information

NPI Number
1598197535
Entity Type
Individual
Name
MRS. Lakita Renell Long, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LPC
Enumeration Date
Aug 1, 2013
Last Updated
Aug 1, 2013

Practice Location

Address
314 WOODS TRL
City
Perry
State
Georgia
ZIP Code
31069-9251
Phone
(478) 302-3135

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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