Individual
MS. KIMBERLY L. HIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3617 BRASELTON HWY STE 104, DACULA, GA 30019-4667
(678) 549-2255
(770) 783-8927
Mailing address
3617 BRASELTON HWY STE 104, DACULA, GA 30019-4667
(678) 549-2255
(770) 783-8927
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC005898
GA
101YP2500X
Professional Counselor
4710
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003124243A
—
GA
Enumeration date
05/11/2006
Last updated
09/26/2018
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