Individual
KEITH MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2020 PEACHTREE RD NW, ATLANTA, GA 30309-1426
(404) 603-4311
Mailing address
2560 OAKWOOD TRCE SE, SMYRNA, GA 30080-8291
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006311
GA
Other
Enumeration date
02/07/2011
Last updated
05/02/2012
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