Individual
MRS. DONNA KAY THOMPSON-LISIECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
710 BOWERY LN, BLDG. G BOX 41, FOLKSTON, GA 31537-5967
(912) 496-2616
(912) 496-2671
Mailing address
710 BOWERY LN, BLDG. G BOX 41, FOLKSTON, GA 31537-5967
(912) 617-0008
(912) 496-2671
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004677
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-8008619
FEDERAL EMPLOYER ID #
GA
Enumeration date
05/11/2007
Last updated
12/10/2014
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