Amelia Lively, LPC

NPI #1063229227 in Valdosta, Georgia

Provider Information

NPI Number
1063229227
Entity Type
Individual
Name
Amelia Lively, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Dec 11, 2024
Last Updated
Dec 11, 2024

Practice Location

Address
1601 NORMAN DR APT L8
State
Georgia
ZIP Code
31601-3224
Phone
(706) 978-2017

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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