Individual
KRISTINA GILLELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
240 OLD EPPS BRIDGE RD, ATHENS, GA 30606-2858
(706) 850-7041
(706) 850-7042
Mailing address
295 KING AVE, ATHENS, GA 30606-2965
(770) 540-3674
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006814
GA
Other
Enumeration date
02/02/2021
Last updated
09/03/2025
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