Individual
MS. KIMBRO HENSON BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2655 DALLAS HWY SW, SUITE 310, MARIETTA, GA 30064-2597
(678) 919-1202
Mailing address
3600 DALLAS HWY SW, SUITE 230-206, MARIETTA, GA 30064-1675
(404) 966-9786
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC003909
GA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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