Individual
MS. LAKLIESHIA MONIQUE IZZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4319 COVINGTON HWY, DECATUR, GA 30035-1210
(404) 284-6505
Mailing address
PO BOX 33082, DECATUR, GA 30033-0082
(678) 683-8194
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006858
GA
Other
Enumeration date
04/21/2009
Last updated
09/10/2012
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