Individual
SAMANTHA KIMBRELL GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
598 S MILLEDGE AVE STE D, ATHENS, GA 30605-1262
(404) 441-9567
Mailing address
598 S MILLEDGE AVE STE D, ATHENS, GA 30605-1262
(404) 441-9567
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC014894
GA
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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