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Organization
VISTA COUNSELING SERVICES, LLC
Active
Organization
VISTA COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHE PISARIK PH.D. (COUNSELOR)
(706) 338-7300
Entity
Organization
Contact information
Practice address
1112 SYRUP MILL DR., DAHLONEGA, GA 30533-2788
(706) 338-1291
Mailing address
PO BOX 1394, DAHLONEGA, GA 30533
(706) 338-1291
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004876
GA
1041C0700X
Clinical Social Worker
CSW004726
GA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
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Other
Enumeration date
09/05/2013
Last updated
10/03/2021
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