Individual
MRS. KRISTI L MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
145 GOVERNORS SQ STE A, PEACHTREE CITY, GA 30269-4861
(404) 444-0005
(770) 515-8819
Mailing address
130 SEDGEWICKE DR, PEACHTREE CITY, GA 30269-4055
(404) 444-0005
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3177
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3177
STATE LICENSE FOR COUNSEL
GA
Enumeration date
08/18/2005
Last updated
04/14/2022
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