Individual
MARESA MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
719 1ST ST SE, MOULTRIE, GA 31768-5509
(229) 891-6223
Mailing address
1212 1ST ST SE, MOULTRIE, GA 31768-5910
(229) 891-6223
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC003755
GA
Other
Enumeration date
09/10/2021
Last updated
09/22/2021
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