Provider Demographics
NPI:1376996017
Name:VEREEN, CELINA (LPC)
Entity Type:Individual
Prefix:
First Name:CELINA
Middle Name:
Last Name:VEREEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2340 PRINCE AVE STE B
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-6004
Mailing Address - Country:US
Mailing Address - Phone:706-688-9365
Mailing Address - Fax:678-829-0642
Practice Address - Street 1:2340 PRINCE AVE STE B
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-6004
Practice Address - Country:US
Practice Address - Phone:706-688-9365
Practice Address - Fax:678-829-0642
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-18
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC008619101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional