Individual
MS. LISA DIANNE LAVALLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
1727 BOXWOOD PL, COLUMBUS, GA 31906-2328
(706) 569-0727
Mailing address
1727 BOXWOOD PL, COLUMBUS, GA 31906-2328
(706) 569-0737
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC006426
GA
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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