Lisa Fort, LPC

NPI #1093143182 in Cuthbert, Georgia

Provider Information

NPI Number
1093143182
Entity Type
Individual
Name
Lisa Fort, LPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Oct 29, 2013
Last Updated
Oct 29, 2013

Practice Location

Address
90 VILLA NOVA ST
State
Georgia
ZIP Code
39840-6221
Phone
(229) 732-5276

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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