person
Mrs. Kelly Denise Gorham, LPC
Mental Health Counselor in Conyers, Georgia
NPI 1487313821

Kelly Denise Gorham is a Mental Health Counselor based in Conyers, GA and is specialized in Mental Health. Kelly Denise Gorham practices in Conyers, GA and has the professional credentials of LPC. The NPI Number for Kelly Denise Gorham is 1487313821 and holds a License No. LPC012546 (Georgia).

The current practice location address for Kelly Denise Gorham is 2605 Hollow Pne, Conyers, GA and can be reached out via phone at 770-940-1792.

Location: 2605 Hollow Pne, Conyers, GA, 30094-3982
person
Provider Profile Details
NPI Number
1487313821
Provider Name
Kelly Denise Gorham
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2605 Hollow Pne, Conyers, GA, 30094-3982
Phone Number
770-940-1792
Fax Number
Provider Enumeration Date
12/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2605 Hollow Pne
City
State
Zip
30094-3982
Phone Number
770-940-1792
Fax Number
person
Provider Business Mailing Address Details
Address
2605 Hollow Pne
City
State
Zip
30094-3982
Phone Number
770-940-1792
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC012546 (Georgia)
Definition
Definition to come...
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