Individual provider · Type 1 NPI

Lisa Monette Tait, LPC

Professional Counselor · Lilburn, GA

NPI number 1083954192 Active

Practice location

5238 Ashley Dr SW
Lilburn, GA 30047-6639

Call (770) 356-0101 Map

Fax (770) 925-0305

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X007320 (GA)

Professional Counselor: Definition to come...

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About NPI 1083954192

Lisa Monette Tait, LPC's National Provider Identifier is 1083954192, issued on Feb 26, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lilburn, GA. The record was last updated on Dec 3, 2013.