Individual
KELLY STOCKDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4331 THURMON TANNER RD, FLOWERY BRANCH, GA 30542-2829
(678) 513-5700
Mailing address
231 COOSAWATTEE AVE SW, ROME, GA 30165-3508
(470) 377-0064
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC013004
GA
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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