Individual provider · Type 1 NPI
Tisha Hadaway, LPC
Professional Counselor · Clarkston, GA
NPI number
1427589092
Active
Practice location
4002 E Ponce De Leon Ave
Clarkston, GA 30021-1815
Mailing address
423 Comanche Trl
Lawrenceville, GA 30044-5121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC008202 (GA) |
Professional Counselor: Definition to come...
Other professional counselor providers in Clarkston
About NPI 1427589092
Tisha Hadaway, LPC's National Provider Identifier is 1427589092, issued on Mar 24, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Clarkston, GA. The record was last updated on Mar 24, 2017.