Individual
ALLISON STALLWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
601 N BELAIR SQ STE 3, EVANS, GA 30809-4322
(706) 833-0780
Mailing address
2140 VININGS LN, LAWRENCEVILLE, GA 30043-2862
(678) 634-3042
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC014717
GA
101YP2500X
Professional Counselor
Primary
LPC014717
GA
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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