Individual
KERI LEIGH CORTOLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 DUG GAP RD, DALTON, GA 30720-5007
(706) 379-0405
Mailing address
1190 COOL SPRINGS DR NW, KENNESAW, GA 30144-5068
(770) 990-6647
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC009227
GA
Other
Enumeration date
03/28/2019
Last updated
06/11/2019
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