Individual
LISA A. VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3207 S CHEROKEE LN, SUITE 440, WOODSTOCK, GA 30188-7024
(770) 490-5501
(770) 783-8380
Mailing address
3207 S CHEROKEE LN, SUITE 440, WOODSTOCK, GA 30188-7024
(770) 490-5501
(770) 783-8380
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC003790
GA
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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