Individual provider · Type 1 NPI

Kimberly Ann Ivester, LPC

Mental Health Counselor · Carrollton, GA

NPI number 1396315552 Active

Practice location

24 Camp Ln
Carrollton, GA 30117-8298

Call (770) 363-6075 Map

Mailing address

1655 Georgia Highway 120
Tallapoosa, GA 30176-3215

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC004483 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1396315552

Kimberly Ann Ivester, LPC's National Provider Identifier is 1396315552, issued on Jun 30, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Carrollton, GA. The record was last updated on Jun 30, 2021.