Individual
TALISA BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3996 CLAIRMONT RD, ATLANTA, GA 30341-4938
(404) 849-7544
Mailing address
3996 CLAIRMONT RD, ATLANTA, GA 30341-4938
(404) 849-7544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC006582
GA
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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