Organization
LISA FUTCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA FUTCH LPC (PRESIDENT)
(478) 494-2052
Entity
Organization
Contact information
Practice address
1026 BLOUNT CROSSING RD SE, DARIEN, GA 31305-3300
(478) 494-2052
Mailing address
1026 BLOUNT CROSSING RD SE, DARIEN, GA 31305-3300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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