Individual
KELLY CAMARATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LPC,CAADC, SA
Contact information
Practice address
35 ATLANTA ST, SUITE #5-B, MCDONOUGH, GA 30253-2162
(678) 758-5578
Mailing address
201 MARGIE CT, MCDONOUGH, GA 30252-3105
(404) 277-3747
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C0168
GA
101YP2500X
Professional Counselor
Primary
LPC008262
GA
Other
Enumeration date
05/22/2013
Last updated
08/12/2016
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