Individual
MRS. KEISHA T TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
289 JONESBORO RD STE 150, MCDONOUGH, GA 30253-3725
(470) 894-7932
Mailing address
289 JONESBORO RD STE 150, MCDONOUGH, GA 30253-3725
(470) 894-7932
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
APC002881
GA
101YP2500X
Professional Counselor
Primary
LPC007711
GA
Other
Enumeration date
03/29/2011
Last updated
07/21/2025
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