Individual
LISA SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
231 S 10TH ST STE B, GRIFFIN, GA 30224-2835
(770) 233-2809
Mailing address
231 S 10TH ST STE B, GRIFFIN, GA 30224-2835
(770) 233-2809
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC004982
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC004982
STATE OF GEORGIA
GA
Enumeration date
08/15/2007
Last updated
08/15/2007
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