Individual
KIM L NEESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, BCCC, CADC II,
Contact information
Practice address
107 HARWELL AVE, LAGRANGE, GA 30240-3131
(706) 594-1192
(706) 412-5017
Mailing address
2219 SMOKEY RD, LAGRANGE, GA 30241-9083
(706) 594-1192
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
423
GA
101YP2500X
Professional Counselor
Primary
LPC007660
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003169076A
—
GA
Enumeration date
10/29/2014
Last updated
06/28/2025
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