Most Relevant Information
Provider Data
| NPI Number: | 1003415498 |
| Provider Name: | DANIELLE MONIQUE' EMINA LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | LPC011775 |
Most Important Dates
| Enumeration Date: | 10/19/2020 |
| Last Updated: | 10/19/2020 |
Provider Practice Location
3338 LINDALE CT
ELLENWOOD
GA
302941313
Practice Location Phone/Fax
| Phone: | 6785488786 |
| Fax: |
Provider Mailing Location
3338 LINDALE CT
ELLENWOOD
GA
302941313
Provider Mailing Phone/Fax
| Phone: | 6785488786 |
| Fax: |