Individual
KEVIN JOHN ELMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
1650 COUNTY SERVICES PKWY SW, MARIETTA, GA 30008-4010
(678) 681-4667
Mailing address
1650 COUNTY SERVICES PKWY SW, MARIETTA, GA 30008-4010
(678) 681-4667
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401007419
MI
101YP2500X
Professional Counselor
Primary
LPC009728
GA
Other
Enumeration date
10/15/2012
Last updated
05/13/2022
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