Individual
MRS. LISA KIM CLEVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC,CAADC, NCC
Contact information
Practice address
1511 W 3RD AVE STE 104, ALBANY, GA 31707-3658
(229) 483-5050
(229) 485-1103
Mailing address
1511 W 3RD AVE STE 104, ALBANY, GA 31707-3658
(229) 483-5050
(229) 485-1103
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
005668
GA
Other
Enumeration date
05/05/2019
Last updated
02/04/2021
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