Individual
MISS KEELY ROCHANDALEY FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3006 CLAIRMONT RD NE STE 107, BROOKHAVEN, GA 30329-1602
(678) 302-1945
(404) 601-1386
Mailing address
3006 CLAIRMONT RD NE STE 107, BROOKHAVEN, GA 30329-1602
(678) 302-1945
(404) 601-1386
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2638
GA
101YP2500X
Professional Counselor
Primary
LPC2638
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
909054024B
—
GA
Enumeration date
09/06/2006
Last updated
07/09/2025
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