Individual
KRISTASIA KEARSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1328 2ND AVE, COLUMBUS, GA 31901-2112
(706) 576-5879
Mailing address
1328 2ND AVE, COLUMBUS, GA 31901-2112
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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