Individual
KIMBERLY MARIE SEHEULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M ED, MHP, LAPC
Contact information
Practice address
2055 BARRETT LAKES BLVD, APT 1402, KENNESAW, GA 30144
(404) 693-1559
(404) 745-0271
Mailing address
2055 BARRETT LAKES BLVD, APT 1402, KENNESAW, GA 30144
(404) 693-1559
(404) 745-0271
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
APC002550
GA
103K00000X
Behavior Analyst
Primary
APC002550
GA
103TC1900X
Counseling Psychologist
APC002550
GA
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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