Individual
MR. KYLE MCGREGOR KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3355 LENOX ROAD, SUITE 300, ATLANTA, GA 30326-1394
(770) 841-1999
Mailing address
907 SAINT CHARLES AVE NE, ATLANTA, GA 30306-4705
(770) 841-1999
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
006437
GA
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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