Individual provider · Type 1 NPI
Kelly Denise Gorham, LPC
Mental Health Counselor · Conyers, GA
NPI number
1487313821
Active
Practice location
2605 Hollow Pne
Conyers, GA 30094-3982
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC012546 (GA) |
Mental Health Counselor: Definition to come...
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About NPI 1487313821
Kelly Denise Gorham, LPC's National Provider Identifier is 1487313821, issued on Dec 13, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Conyers, GA. The record was last updated on Dec 13, 2021.