Individual
KALEB AIDEN GILMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2772 NORFAIR LOOP, LITHONIA, GA 30038-1417
(678) 409-9808
Mailing address
2772 NORFAIR LOOP, LITHONIA, GA 30038-1417
(678) 409-9808
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC011936
GA
Other
Enumeration date
07/02/2020
Last updated
01/18/2021
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