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TUQUESTER L. CARLISLE LAPC
>> Marriage & Family Therapist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1740640234
Individual Registrant: TUQUESTER L. CARLISLE LAPC
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
300 WEST CLINTON ST. SUITE I GRAY, GA 31032 US
Tel: 478-745-2811 Fax: 478-745-0881
Tel: 478-745-2811 Fax: 478-745-0881
Contact information for business:
277 MLK BLVD. SUITE 203 MACON, GA 31201 US
Tel: 478-745-2811 Fax: 478-745-0881
Tel: 478-745-2811 Fax: 478-745-0881
Registration Information:
NPI: 1740640234
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist | GA | APC005145 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
