Individual
KEISHA TENELL MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4343 SHALLOWFORD RD, SUITE C-1, MARIETTA, GA 30062-5023
(404) 453-8255
Mailing address
591 TORONTO CIR, HAMPTON, GA 30228-5336
(404) 453-8255
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 007040
GA
Other
Enumeration date
04/28/2011
Last updated
04/25/2013
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