Organization
ANNALISE ROBINSON, LPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA ANNALISE ROBINSON LPC (OWNER)
(706) 218-9890
Entity
Organization
Contact information
Practice address
6290 ABBOTTS BRIDGE RD, SUITE 502 BLDG 500, DULUTH, GA 30097-8495
(706) 218-9390
(770) 907-4463
Mailing address
PO BOX 422, TIGER, GA 30576-0422
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004529
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC004529
STATE LICENSE COUNSELOR
GA
Enumeration date
01/23/2007
Last updated
08/22/2020
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