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Individual

KISHA LOVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, CPCS

Contact information

Practice address
610 KENTUCKY ST, SCOTTDALE, GA 30079-1124
(678) 274-2823
(678) 398-7760
Mailing address
PO BOX 1761, KENNESAW, GA 30156-8761
(404) 543-4687

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC007310
GA
101YP2500X
Professional Counselor
LPC007310
GA

Other

Enumeration date
03/29/2011
Last updated
01/17/2025
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