Individual
DR. KIMBERLY SPELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LPC, NCC
Contact information
Practice address
1000 JOHNSON FERRY RD STE E150, MARIETTA, GA 30068-2176
(470) 382-0583
Mailing address
1000 JOHNSON FERRY RD STE E150, MARIETTA, GA 30068-2176
(470) 382-0583
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC014156
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054012019
DRIVER LICENSE
GA
Enumeration date
04/20/2022
Last updated
03/29/2024
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