institution
Kimberly Wallace Lpc Llc
Professional Counselor in Marietta, Georgia
NPI 1659987238

Kimberly Wallace Lpc Llc is a Professional Counselor based in Marietta, GA and is specialized in Professional. Kimberly Wallace Lpc Llc practices in Marietta, GA. The NPI Number for Kimberly Wallace Lpc Llc is 1659987238 and holds a License No. (Georgia).

The current practice location address for Kimberly Wallace Lpc Llc is 2852 Johnson Ferry Rd Ste 100, Marietta, GA and can be reached out via phone at 404-906-9831.

Location: 2852 Johnson Ferry Rd Ste 100, Marietta, GA, 30062-5686
institution
Provider Profile Details
NPI Number
1659987238
Provider Name
Kimberly Wallace Lpc Llc
Credential
Provider Entity Type
Organization
Address
2852 Johnson Ferry Rd Ste 100, Marietta, GA, 30062-5686
Phone Number
404-906-9831
Fax Number
Provider Enumeration Date
09/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2852 Johnson Ferry Rd Ste 100
City
State
Zip
30062-5686
Phone Number
404-906-9831
Fax Number
person
Provider Business Mailing Address Details
Address
2852 Johnson Ferry Rd Ste 100
City
State
Zip
30062-5686
Phone Number
404-906-9831
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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