Individual
KARISSA LAVONE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1 W COURT SQ STE 750, DECATUR, GA 30030-2545
(404) 924-9387
Mailing address
5893 EARLWANE DR, LITHONIA, GA 30058-5619
(404) 909-5647
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008622
GA
Other
Enumeration date
09/19/2012
Last updated
09/02/2022
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