Individual
KAMARYA A. ISOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
2910 BUFORD DR APT 1302, BUFORD, GA 30519-6533
(901) 283-2985
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC007006
GA
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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