Individual
KEONA NASHELL TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1017 FAYETTEVILLE RD SE, ATLANTA, GA 30316-2932
(770) 722-0080
Mailing address
3432 PIEDMONT RD NE APT 924, ATLANTA, GA 30305-1775
(770) 549-0117
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1
GA
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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