Individual
MS. JENNIFER KIMMERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1254 CONCORD RD SE, 201, SMYRNA, GA 30080-4371
(678) 787-6721
(770) 934-6086
Mailing address
6148 BELLEWOOD ASH LN, TUCKER, GA 30084-8624
(678) 787-6721
(770) 934-6086
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001141
GA
106H00000X
Marriage & Family Therapist
MFT00122
RI
Other
Enumeration date
11/21/2008
Last updated
05/12/2011
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