Individual
LISA HARWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1301 SHILOH RD NW STE 811, KENNESAW, GA 30144-7156
(678) 389-1195
Mailing address
1301 SHILOH RD NW STE 811, KENNESAW, GA 30144-7156
(678) 389-1195
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC001243
GA
Other
Enumeration date
12/15/2015
Last updated
04/20/2020
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