Individual provider · Type 1 NPI

Kimberly Broyles Tepker, LPC

Professional Counselor · Suwanee, GA

NPI number 1588091102 Active

Practice location

4485 Tench Rd, Suite 840
Suwanee, GA 30024-6739

Call (770) 490-6545 Map

Mailing address

381 Creek Manor Way
Suwanee, GA 30024-6565

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X03810 (GA)

Professional Counselor: Definition to come...

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About NPI 1588091102

Kimberly Broyles Tepker, LPC's National Provider Identifier is 1588091102, issued on Sep 27, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Suwanee, GA. The record was last updated on Aug 5, 2014.