LISHA FANT

PEACHTREE CORNERS, GA
NPI1194301606
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  11296)
Enumeration Date2021-03-23
Last Update Date2023-09-22
Business Address
LISHA FANT LCDC
3941 HOLCOMB BRIDGE RD STE 100
PEACHTREE CORNERS, GA 30092-2292
Phone number: 855-850-0274
Mailing Address
LISHA FANT LCDC
4125 HUNTLEIGH DR
SAN ANGELO, TX 76904-1405
Phone number: 325-716-6333
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