Organization
KECIA WEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KECIA WEST LPC (CEO)
(706) 530-5397
Entity
Organization
Contact information
Practice address
1285 MARKS CHURCH RD STE F, AUGUSTA, GA 30909-2472
(404) 769-8771
Mailing address
2566 SHALLOWFORD RD NE STE 104-118, ATLANTA, GA 30345-1249
(706) 530-5397
(706) 609-5753
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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