Ethel London, LPC

NPI 1295196186 · on the registry since 2016 · sole proprietor

Practice

Address: 2227 Idlewood Rd
Suite 2
Tucker, GA 30084
Phone: (678) 922-2834
Organisation at this address: Mediwellness, Llc
Neurowave Diagnostics, Llc
Magnolia Integrated Health, Llc
Vital Care Medical Transport Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-03-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia