Individual
JESSICA ELAINE KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
150 DANBURY CT, ATHENS, GA 30605-3932
(706) 207-4328
Mailing address
150 DANBURY CT, ATHENS, GA 30605-3932
(706) 207-4328
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC013121
GA
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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