Individual
KIMBERLY MARIE DERAMUS LAREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
317 W HILL ST STE 204C, DECATUR, GA 30030-4367
(404) 781-9779
Mailing address
3584 HILLSBOROUGH LN, DECATUR, GA 30032-3863
(706) 255-9455
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC007839
GA
Other
Enumeration date
05/08/2014
Last updated
01/21/2021
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