Individual provider · Type 1 NPI

Richard Charles Lie-Nielsen, L.P.C.

Professional Counselor · Smyrna, GA

NPI number 1124470729 Active

Practice location

4015 S Cobb Dr SE, Suite 260
Smyrna, GA 30080-6303

Call (678) 760-2704 Map

Fax (770) 432-8311

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X004695 (GA)

Professional Counselor: Definition to come...

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About NPI 1124470729

Richard Charles Lie-Nielsen, L.P.C.'s National Provider Identifier is 1124470729, issued on Jul 7, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Smyrna, GA. The record was last updated on Jul 7, 2016.