Individual
MRS. ELAINE G KELPIEN FEDERICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
132 RIVERSTONE TER, SUITE 102, CANTON, GA 30114-1703
(770) 213-3615
(678) 880-9813
Mailing address
132 RIVERSTONE TER, SUITE 102, CANTON, GA 30114-1703
(770) 213-3615
(678) 880-9813
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC007159
GA
101YM0800X
Mental Health Counselor
MH10235
FL
Other
Enumeration date
05/28/2010
Last updated
05/23/2013
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