Individual
AMBER KICKLIGHTER EDENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
207 N ANDERSON DR, SWAINSBORO, GA 30401-4440
(478) 289-2619
(478) 289-2622
Mailing address
223 N ANDERSON DR, P O BOX 1259, SWAINSBORO, GA 30401-4440
(478) 289-2683
(478) 289-2522
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC003352
GA
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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