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Provider Information for 1780747246


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LOIS MUIR-MCCLAIN M.A., LPC


Sex: Female

NPI: 1780747246
Last Updated: 2009-06-09
Certification Date:

Details

NameValue
NPI1780747246
Enumeration Date2006-12-18
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 965 CONNELL LN
LAWRENCEVILLE, GA 30044-6126
United States

Phone: 404-201-2048 | Fax:
 
Primary Practice Address 1700 TREE LN
SUITE 260
SNELLVILLE, GA 30078-6782
United States

Phone: 770-736-7534 | Fax:770-736-8627
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalGALPC005522
No 101YM0800X - Counselor - Mental HealthGALPC005522
No 106H00000X - Marriage & Family Therapist GALPC005522