Individual
MRS. KRISTOL DALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LPC
Contact information
Practice address
1343 E FAYETTEVILLE RD, RIVERDALE, GA 30296-3101
(404) 518-8219
Mailing address
1343 E FAYETTEVILLE RD, RIVERDALE, GA 30296-3101
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
APC005819
GA
101YP2500X
Professional Counselor
Primary
LPC011299
GA
Other
Enumeration date
09/19/2019
Last updated
12/17/2019
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