Individual
LISETTE INFANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
881 PONCE DE LEON AVE NE STE 7, ATLANTA, GA 30306-4259
(770) 298-3088
Mailing address
3840 FAIRHILL PT, ALPHARETTA, GA 30004-5027
(770) 375-7798
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009980
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC009980
PROFESSIONAL LICENSE
GA
Enumeration date
02/20/2019
Last updated
06/11/2019
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