Lisa Clara Bryan LPC, NCC, MED.

NPI 1740204064 - Counselor - 101YP2500X

NPI Details
NPI 1740204064
Gender Female
Enumeration Date 07/27/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4989 PEACHTREE PKWY STE 221
NORCROSS GA, 30092-2589, US
Phone (770) 246-2588
Fax (770) 248-0537
Business Location
3540 SPALDING CHASE DR
NORCROSS GA, 30092-4568, US
Phone (770) 246-2588
Fax (770) 248-0537
Toxanomy
Taxonomy Code 101YP2500X
License State Georgia
License Number 3514
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According to our database, Ms. Lisa Clara Bryan LPC, NCC, MED. NPI is 1740204064, taxonomy code is 101YP2500X and license number is 3514, license state is located at Georgia. Lisa Clara Bryan LPC, NCC, MED. physically located at 4989 Peachtree Pkwy Ste 221, Norcross GA, 30092-2589. NPI Number Lisa Clara Bryan LPC, NCC, MED. has the Individual type.

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1740204064 NPI number is provided on an as is basis without warranty of any kind. 1740204064 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Clara Bryan LPC, NCC, MED. are for informational purposes only.