Individual provider · Type 1 NPI

Lisa Modlin, LPC GEORGIA

Counselor · Thomson, GA

NPI number 1629558390 Active

Practice location

114 E Hall St
Thomson, GA 30824-2726

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLPC010407 (GA)

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 1629558390

Lisa Modlin, LPC GEORGIA's National Provider Identifier is 1629558390, issued on Aug 21, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Thomson, GA. The record was last updated on Aug 21, 2018.