Individual
MS. LISA COTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
601 W PONCE DE LEON AVE, DECATUR, GA 30030-2952
(404) 931-3066
Mailing address
PO BOX 465, AVONDALE ESTATES, GA 30002-0465
(404) 931-3066
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004983
GA
Other
Enumeration date
03/10/2012
Last updated
03/10/2012
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