Individual
KELLIE ANN HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
270 CARPENTER DR STE 400, ATLANTA, GA 30328-4933
(678) 460-0345
Mailing address
2868 BETULA DR, AUSTELL, GA 30106-8000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009568
GA
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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