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MRS. DONNA KAY THOMPSON-LISIECKI LPC

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1871708057

Individual Registrant:
MRS. DONNA KAY THOMPSON-LISIECKI LPC
Gender: F
Sole Proprietor

Location and contact information for practice:
710 BOWERY LN BLDG. G BOX 41 FOLKSTON, GA 31537-5967 US
Tel: 912-496-2616  Fax: 912-496-2671

Contact information for business:
710 BOWERY LN BLDG. G BOX 41 FOLKSTON, GA 31537-5967 US
Tel: 912-617-0008  Fax: 912-496-2671

Registration Information:
NPI: 1871708057
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
GALPC004677

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
FEDERAL EMPLOYER ID #20-8008619GA01




HEALTH CARE JOBS GA - Page 1



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