Individual provider · Type 1 NPI

Delisha Latrae Lipscomb

Counselor · Lawrenceville, GA

NPI number 1497819155 Active

Practice location

175 Gwinnett Dr, Suite 213
Lawrenceville, GA 30045-8444

Call (678) 377-3745 Map

Fax (678) 990-3997

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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 1497819155

Delisha Latrae Lipscomb's National Provider Identifier is 1497819155, issued on Dec 20, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lawrenceville, GA. The record was last updated on Jul 8, 2007.