Individual
GREGORY LAZZARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3745
Mailing address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3745
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178-007226
IL
101YP2500X
Professional Counselor
Primary
LPC009197
GA
Other
Enumeration date
08/27/2012
Last updated
03/24/2017
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