Individual
MRS. KELLEY DODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CPCS
Contact information
Practice address
3485 MCEVER RD STE 205, GAINESVILLE, GA 30504-5542
(770) 450-9900
(770) 450-9300
Mailing address
3485 MCEVER RD STE 205, GAINESVILLE, GA 30504-5542
(770) 450-9900
(770) 450-9300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APC003922
GA
101YM0800X
Mental Health Counselor
LPC009024
GA
101YP2500X
Professional Counselor
Primary
LPC009024
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003209993A
—
GA
Enumeration date
05/21/2015
Last updated
03/29/2022
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