Provider Demographics
NPI:1629359708
Name:DUREN, LAUREN CLARKE (LPC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:CLARKE
Last Name:DUREN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:CLARKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3310 BEMISS RD
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31605-7014
Mailing Address - Country:US
Mailing Address - Phone:229-586-6082
Mailing Address - Fax:229-586-6082
Practice Address - Street 1:3310 BEMISS RD
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31605-7014
Practice Address - Country:US
Practice Address - Phone:229-586-6082
Practice Address - Fax:229-586-6082
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-02
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC006515101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional