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Lisa Davis, MA,MS,LPC
Professional Counselor in Locust Grove, Georgia
NPI 1598368789

Lisa Davis is a Professional Counselor based in Locust Grove, GA and is specialized in Professional. Lisa Davis practices in Locust Grove, GA and has the professional credentials of MA,MS,LPC. The NPI Number for Lisa Davis is 1598368789 and holds a License No. (Georgia).

The current practice location address for Lisa Davis is 8040 Louis Dr, Locust Grove, GA and can be reached out via phone at 708-955-8451.

Location: 8040 Louis Dr, Locust Grove, GA, 30248-7111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598368789
Provider Name
Lisa Davis
Credential
MA,MS,LPC
Provider Entity Type
Individual
Gender
Female
Address
8040 Louis Dr, Locust Grove, GA, 30248-7111
Phone Number
708-955-8451
Fax Number
Provider Enumeration Date
11/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8040 Louis Dr
City
Locust Grove
State
Georgia
Zip
30248-7111
Phone Number
708-955-8451
Fax Number
person
Provider Business Mailing Address Details
Address
8040 Louis Dr
City
Locust Grove
State
Georgia
Zip
30248-7111
Phone Number
708-955-8451
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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