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Keisa Ayana Brooks-bacote
Professional Counselor in Thomson, Georgia
NPI 1932235322

Keisa Ayana Brooks-bacote is a Professional Counselor based in Thomson, GA and is specialized in Professional. Keisa Ayana Brooks-bacote practices in Thomson, GA. The NPI Number for Keisa Ayana Brooks-bacote is 1932235322 and holds a License No. (Georgia).

The current practice location address for Keisa Ayana Brooks-bacote is 431 Edgar Cir, Thomson, GA and can be reached out via phone at 864-554-1453.

Location: 431 Edgar Cir, Thomson, GA, 30824-1600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932235322
Provider Name
Keisa Ayana Brooks-bacote
Credential
Provider Entity Type
Individual
Gender
Female
Address
431 Edgar Cir, Thomson, GA, 30824-1600
Phone Number
864-554-1453
Fax Number
Provider Enumeration Date
02/27/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
431 Edgar Cir
City
Thomson
State
Georgia
Zip
30824-1600
Phone Number
864-554-1453
Fax Number
person
Provider Business Mailing Address Details
Address
431 Edgar Cir
City
Thomson
State
Georgia
Zip
30824-1600
Phone Number
864-554-1453
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LPC008161 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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