Individual
MS. LISA G POORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
3905 JOHNS CREEK CT, SUITE 260, SUWANEE, GA 30024-1224
(770) 753-0350
(770) 497-9536
Mailing address
3905 JOHNS CREEK CT, SUITE 260, SUWANEE, GA 30024-1224
(770) 753-0350
(770) 497-9536
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC001741
GA
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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