Individual provider · Type 1 NPI

Laney Dezanet

Professional Counselor · Augusta, GA

NPI number 1114769866 Active

Practice location

3643 Walton Way Ext Bldg 4
Augusta, GA 30909-6677

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC016132 (GA)

Professional Counselor: Definition to come...

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About NPI 1114769866

Laney Dezanet's National Provider Identifier is 1114769866, issued on Jun 12, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Augusta, GA. The record was last updated on Nov 10, 2025.