Individual
LAUREN MILLER TISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
514 W MAPLE ST STE 406, CUMMING, GA 30040-3093
(469) 525-9670
Mailing address
3025 ANSLEY ARBOR CT, CUMMING, GA 30028-3834
(407) 312-1085
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
80331
TX
Other
Enumeration date
09/06/2021
Last updated
09/06/2021
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