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Organization

GEMS COUNSELING AND CONSULTING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY DAVIS (CREDENTIALING SPECIALISTS)
(912) 373-4385
Entity
Organization

Contact information

Practice address
10149 FORD AVENUE, OFFICE #4, RICHMOND HILL, GA 31324
(912) 507-3362
Mailing address
101 BLUE MOON XING STE 3, POOLER, GA 31322-9798
(912) 507-3362

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APC007072
STATE LICENSE
GA
Enumeration date
03/22/2021
Last updated
03/22/2021
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