Doctor Name: | MRS. ALAINA SAMPLES CONNER |
NPI Number: | 1104147651 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, NCC |
License Number: | LPC005800 |
Business Practice Address: | 1100 Old Dawson Village Rd E Suite 020 Dawsonville, GA - 305343806 |
Business Phone Number: | 3127304936 |
Business Fax Number: | |
Mailing Address: | 3479 Maritime Gln, GAINESVILLE |
State: | GA |
Postal Code: | 305061072 |
Phone Number: | 3127304936 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2010 |
NPI Last Update Date: | 08/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC005800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |