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Lisa Modlin, LPCGEORGIA
Counselor in Thomson, Georgia
NPI 1629558390

Lisa Modlin is a Counselor based in Thomson, GA. Lisa Modlin practices in Thomson, GA and has the professional credentials of LPCGEORGIA. The NPI Number for Lisa Modlin is 1629558390 and holds a License No. LPC010407 (Georgia).

The current practice location address for Lisa Modlin is 114 E Hall St, Thomson, GA and can be reached out via phone at 706-295-2548.

Location: 114 E Hall St, Thomson, GA, 30824-2726
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629558390
Provider Name
Lisa Modlin
Credential
LPCGEORGIA
Provider Entity Type
Individual
Gender
Female
Address
114 E Hall St, Thomson, GA, 30824-2726
Phone Number
706-295-2548
Fax Number
Provider Enumeration Date
08/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
114 E Hall St
City
Thomson
State
Georgia
Zip
30824-2726
Phone Number
706-295-2548
Fax Number
person
Provider Business Mailing Address Details
Address
114 E Hall St
City
Thomson
State
Georgia
Zip
30824-2726
Phone Number
706-295-2548
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LPC010407 (Georgia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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