Individual
MS. KIMBERLY R. WATERS-ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2450 ATLANTA HWY STE 1403, CUMMING, GA 30040-1277
(678) 947-9279
(678) 947-9255
Mailing address
PO BOX 408, CUMMING, GA 30028-0408
(678) 947-9279
(678) 947-9255
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003197
GA
Other
Enumeration date
12/29/2006
Last updated
03/07/2022
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