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Lisa Gail Rudeseal, LPC
Professional Counselor in Macon, Georgia
NPI 1154658474

Lisa Gail Rudeseal is a Professional Counselor based in Macon, GA and is specialized in Professional. Lisa Gail Rudeseal practices in Macon, GA and has the professional credentials of LPC. The NPI Number for Lisa Gail Rudeseal is 1154658474 and holds a License No. 002130 (Georgia).

The current practice location address for Lisa Gail Rudeseal is 175 Emery Hwy, Macon, GA and can be reached out via phone at 478-751-4446 and via fax at 478-751-4530.

Location: 175 Emery Hwy, Macon, GA, 31217-3692
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Provider Profile Details
NPI Number
1154658474
Provider Name
Lisa Gail Rudeseal
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
175 Emery Hwy, Macon, GA, 31217-3692
Phone Number
478-751-4446
Fax Number
478-751-4530
Provider Enumeration Date
11/06/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002130 01 GA LPC
institution
Provider Business Practice Location Address Details
Address
175 Emery Hwy
City
State
Zip
31217-3692
Phone Number
478-751-4446
Fax Number
478-751-4530
person
Provider Business Mailing Address Details
Address
175 Emery Hwy
City
State
Zip
31217-3692
Phone Number
478-751-4446
Fax Number
478-751-4530
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
002130 (Georgia)
Definition
Definition to come...
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