Individual
KIMBERLY ANN IVESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
24 CAMP LN, CARROLLTON, GA 30117-8298
(770) 363-6075
Mailing address
1655 GEORGIA HIGHWAY 120, TALLAPOOSA, GA 30176-3215
(770) 574-7647
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC004483
GA
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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