Individual
KIANNA PORTER-SIMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Contact information
Practice address
235 E PONCE DE LEON AVE STE 320, DECATUR, GA 30030-5800
(404) 236-9356
Mailing address
1015 HAMILTON DR, LOCUST GROVE, GA 30248-2822
(770) 558-0622
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
GA
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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