Individual
MRS. STACEY LYNN ONEIL KITCHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3113 EMORY ST NW, COVINGTON, GA 30014-2241
(404) 217-8161
Mailing address
1321 SIMMONS RD, SOCIAL CIRCLE, GA 30025-3205
(404) 217-8161
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC001953
GA
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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