Individual
ELISE MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 SHILOH RD NW STE 340, KENNESAW, GA 30144-7151
(678) 386-9995
Mailing address
1301 SHILOH RD NW STE 340, KENNESAW, GA 30144-7151
(678) 386-9995
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APC007187
GA
101YM0800X
Mental Health Counselor
Primary
LPC014799
GA
Other
Enumeration date
02/27/2020
Last updated
05/19/2025
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