Individual
MRS. KIMBERLY ANN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
3170 CHAPEL RD NW, KENNESAW, GA 30144-4202
(678) 574-4722
(678) 574-4722
Mailing address
3170 CHAPEL RD NW, KENNESAW, GA 30144-4202
(678) 574-4722
(678) 574-4722
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004461
GA
Other
Enumeration date
01/10/2010
Last updated
01/10/2010
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