Individual
KASHON MELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2857 TOBACCO RD STE 1, HEPHZIBAH, GA 30815-9001
(706) 871-1323
Mailing address
1823 MICKIE ANN WAY, HEPHZIBAH, GA 30815-8931
(706) 871-1323
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC012199
GA
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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