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Calypso-jade Kneller
Mental Health Counselor in Cumming, Georgia
NPI 1053005512

Calypso-jade Kneller is a Mental Health Counselor based in Cumming, GA and is specialized in Mental Health. Calypso-jade Kneller practices in Cumming, GA. The NPI Number for Calypso-jade Kneller is 1053005512 and holds a License No. APC008684 (Georgia).

The current practice location address for Calypso-jade Kneller is 309 Pirkle Ferry Rd Ste B100, Cumming, GA and can be reached out via phone at 470-206-8250.

Location: 309 Pirkle Ferry Rd Ste B100, Cumming, GA, 30040-2548
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053005512
Provider Name
Calypso-jade Kneller
Credential
Provider Entity Type
Individual
Gender
Female
Address
309 Pirkle Ferry Rd Ste B100, Cumming, GA, 30040-2548
Phone Number
470-206-8250
Fax Number
Provider Enumeration Date
06/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
309 Pirkle Ferry Rd Ste B100
City
Cumming
State
Georgia
Zip
30040-2548
Phone Number
470-206-8250
Fax Number
person
Provider Business Mailing Address Details
Address
309 Pirkle Ferry Rd Ste B100
City
Cumming
State
Georgia
Zip
30040-2548
Phone Number
470-206-8250
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
APC008684 (Georgia)
Definition
Definition to come...
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