Individual
MRS. KELLY J VEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
610 RIDLEY AVE, LAGRANGE, GA 30240-2236
(706) 594-8148
(706) 884-5056
Mailing address
416 PARK AVE, LAGRANGE, GA 30240-3034
(706) 594-8148
(706) 884-5056
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC006806
GA
101YP2500X
Professional Counselor
Primary
LPC006806
GA
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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