Individual
KELLI O'NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
9876 MAIN ST, STE. 100, WOODSTOCK, GA 30188-3970
(770) 516-1050
(770) 516-1300
Mailing address
9876 MAIN ST, STE. 100, WOODSTOCK, GA 30188-3970
(770) 516-1050
(770) 516-1300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC003938
GA
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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