Individual provider · Type 1 NPI

Lola R. Georg, LPC

Counselor · Havertown, PA

NPI number 1104182971 Active

Practice location

525 W Chester Pike, Suite 205
Havertown, PA 19083-4500

Call (610) 644-6464 Map

Fax (610) 889-0732

Mailing address

1440 Russell Rd
Paoli, PA 19301-1236

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XPC004689 (PA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1104182971

Lola R. Georg, LPC's National Provider Identifier is 1104182971, issued on Apr 6, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Havertown, PA. The record was last updated on Apr 6, 2012.