Individual
LISA MARIE FUTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1100B CA DEVILLARS RD, DARIEN, GA 31305-9750
(478) 494-2052
Mailing address
1545 HARRIS NECK RD NE, TOWNSEND, GA 31331-8639
(478) 494-2052
(912) 739-0888
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
004541
GA
101YP2500X
Professional Counselor
Primary
LPC004541
GA
Other
Enumeration date
12/24/2007
Last updated
05/11/2021
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