Individual
GABRIELLE KENITHA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
299 COOPER RD STE B, LOGANVILLE, GA 30052-2579
(770) 217-4336
Mailing address
765 HOLCOMBE WOODS CT, AUBURN, GA 30011-2300
(706) 589-2882
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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