Individual
KJESTI EASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
105 WHITEHEAD RD STE 6, ATHENS, GA 30606-1551
(706) 424-3644
Mailing address
1490 CRAWLEY RD, MADISON, GA 30650-2265
(706) 424-3644
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC00819
GA
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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