Individual
KELLEY CRISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
100 MEMORY LN, DAHLONEGA, GA 30533-4091
(706) 973-0362
Mailing address
100 MEMORY LN, DAHLONEGA, GA 30533-4091
(706) 973-0362
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC010548
GA
Other
Enumeration date
03/02/2022
Last updated
03/04/2022
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