Individual
KIMBERLY RENAY MCNAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CAC II
Contact information
Practice address
2330 SCENIC HWY S, SNELLVILLE, GA 30078-3115
(678) 863-6641
Mailing address
3521 BAYWATER TRL, SNELLVILLE, GA 30039-7006
(678) 863-6641
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1502-R
GA
101YP2500X
Professional Counselor
0701002691
VA
101YP2500X
Professional Counselor
Primary
LPC002892
GA
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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