Individual
MRS. LISA MARIE MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
198 UNION HILL CHURCH RD, GORDON, GA 31031-2134
(478) 251-6611
Mailing address
198 UNION HILL CHURCH RD, GORDON, GA 31031-2134
(478) 251-6611
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC005704
GA
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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