Individual
MRS. KELLY MARKILLIE CORTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4151 CLAIRMONT RD, ATLANTA, GA 30341-3232
(678) 468-1166
Mailing address
760 LAKESHORE DR, BERKELEY LAKE, GA 30096-3040
(770) 409-1672
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002554
GA
Other
Enumeration date
05/03/2007
Last updated
08/28/2008
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