Individual
ALICE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2964 PEACHTREE RD NW STE 760, ATLANTA, GA 30305-2220
(236) 924-0404
Mailing address
1593 CREEK BEND LN, LAWRENCEVILLE, GA 30043-7870
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
08/04/2022
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