Individual
LISA WARNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5910 GA HIGHWAY 21 S, UNIT 6, RINCON, GA 31326-5505
(912) 988-3649
Mailing address
5910 GA HIGHWAY 21 S, UNIT 6, RINCON, GA 31326-5505
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005886
GA
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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