Individual provider · Type 1 NPI
Lisa Kirkpatrick Kettering, APC
Mental Health Counselor · Acworth, GA
NPI number
1285117416
Active
Practice location
6548 Highway 92 Ste 100
Acworth, GA 30102-2572
Mailing address
19 Billies Cv SE
Acworth, GA 30102-6894
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | APC007035 (GA) |
Mental Health Counselor: Definition to come...
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About NPI 1285117416
Lisa Kirkpatrick Kettering, APC's National Provider Identifier is 1285117416, issued on Sep 13, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Acworth, GA. The record was last updated on Nov 23, 2019.