Lisa Fort, LPC Valid NPI
Individual provider · Professional Counselor · Cuthbert, GA
- NPI
- 1093143182
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- LPC007439 (GA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2013-10-29
- Last updated
- 2013-10-29
Practice location
90 Villa Nova St
Cuthbert, GA 39840-6221
(229) 732-5276