Individual
MS. LISA CLARA BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC, MED.
Contact information
Practice address
4989 PEACHTREE PKWY STE 221, NORCROSS, GA 30092-2589
(770) 246-2588
(770) 248-0537
Mailing address
3540 SPALDING CHASE DR, NORCROSS, GA 30092-4568
(770) 246-2588
(770) 248-0537
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3514
GA
Other
Enumeration date
07/27/2006
Last updated
07/09/2007
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