person
Mr. Richard Charles Lie-nielsen, LPC
Professional Counselor in Smyrna, Georgia
NPI 1124470729

Richard Charles Lie-nielsen is a Professional Counselor based in Smyrna, GA and is specialized in Professional. Richard Charles Lie-nielsen practices in Smyrna, GA and has the professional credentials of LPC. The NPI Number for Richard Charles Lie-nielsen is 1124470729 and holds a License No. 004695 (Georgia).

The current practice location address for Richard Charles Lie-nielsen is 4015 S Cobb Dr Se, Smyrna, GA and can be reached out via phone at 678-760-2704 and via fax at 770-432-8311.

Location: 4015 S Cobb Dr Se, Smyrna, GA, 30080-6303
person
Provider Profile Details
NPI Number
1124470729
Provider Name
Richard Charles Lie-nielsen
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
4015 S Cobb Dr Se, Smyrna, GA, 30080-6303
Phone Number
678-760-2704
Fax Number
770-432-8311
Provider Enumeration Date
07/07/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4015 S Cobb Dr Se
City
State
Zip
30080-6303
Phone Number
678-760-2704
Fax Number
770-432-8311
person
Provider Business Mailing Address Details
Address
4015 S Cobb Dr Se
City
State
Zip
30080-6303
Phone Number
678-760-2704
Fax Number
770-432-8311
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
004695 (Georgia)
Definition
Definition to come...
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