Individual
LYZETTE SANTIAGO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
507 PARK ST, PALMETTO, GA 30268-1007
(770) 358-5252
(770) 229-3223
Mailing address
643 MAIN ST, PALMETTO, GA 30268-1138
(404) 929-8824
(404) 929-9769
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008292
GA
Other
Enumeration date
03/17/2017
Last updated
03/05/2020
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