Individual
MS. JANE KEARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
37 CALUMET PKWY STE 100, NEWNAN, GA 30263-6734
(770) 304-0072
(678) 669-2693
Mailing address
105 DENSMORR RDG, SENOIA, GA 30276-1326
(901) 299-2840
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC007330
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APC007330
—
GA
Enumeration date
05/26/2020
Last updated
05/26/2020
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