Individual
LISA HEDDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APC
Contact information
Practice address
3754 LAVISTA RD STE 200, TUCKER, GA 30084-5627
(404) 994-1034
Mailing address
3754 LAVISTA RD STE 200, TUCKER, GA 30084-5627
(404) 994-1034
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC06597
GA
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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