Individual
LISA S. KOVITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LPC
Contact information
Practice address
6212 NORTHLAKE CIR NE, ATLANTA, GA 30345-2848
(570) 982-9436
(678) 669-2632
Mailing address
6212 NORTHLAKE CIR NE, ATLANTA, GA 30345-2848
(570) 982-9436
(678) 669-2632
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007330
GA
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
05/29/2012
Last updated
12/23/2014
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