Provider Demographics
NPI:1689347072
Name:SLATINSKY, JOANNE (LPC)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:SLATINSKY
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 1:113 NORTHLAKE TRL
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30114-8183
Mailing Address - Country:US
Mailing Address - Phone:678-350-3070
Mailing Address - Fax:
Practice Address - Street 1:113 NORTHLAKE TRL
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30114-8183
Practice Address - Country:US
Practice Address - Phone:678-350-3070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC001174101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional