Individual provider · Type 1 NPI

Lisa Gail Rudeseal, LPC

Professional Counselor · Macon, GA

NPI number 1154658474 Active

Practice location

175 Emery Hwy
Macon, GA 31217-3692

Fax (478) 751-4530

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X002130 (GA)

Professional Counselor: Definition to come...

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About NPI 1154658474

Lisa Gail Rudeseal, LPC's National Provider Identifier is 1154658474, issued on Nov 6, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Macon, GA. The record was last updated on Nov 6, 2009.