Individual
LISA GUEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 WINN WAY, DECATUR, GA 30030-1715
(404) 294-0499
Mailing address
2888 BRIDLE CREEK DR SW, CONYERS, GA 30094-5677
(866) 325-5434
(866) 325-5340
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009668
GA
104100000X
Social Worker
MSW006017
GA
Other
Enumeration date
09/10/2015
Last updated
10/02/2024
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