Individual provider · Type 1 NPI

Kimberley Canupp Colluro, LPC

Professional Counselor · Braselton, GA

NPI number 1689646192 Active

Practice location

26 Charlie Smith Rd
Braselton, GA 30517-2500

Call (770) 654-6836 Map

Mailing address

5415 Golf View Dr
Braselton, GA 30517-4043

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC004144 (GA)

Professional Counselor: Definition to come...

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About NPI 1689646192

Kimberley Canupp Colluro, LPC's National Provider Identifier is 1689646192, issued on Feb 7, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Braselton, GA. The record was last updated on Mar 20, 2013.