Individual
MRS. KIA MARIE BAMMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2776 COVE VIEW CT, DACULA, GA 30019-4714
(470) 677-4147
Mailing address
2776 COVE VIEW CT, DACULA, GA 30019-4714
(470) 677-4147
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC012905
GA
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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