Individual provider · Type 1 NPI
Kemesha Nickelson, LPC
Professional Counselor · Johns Creek, GA
NPI number
1801557830
Active
Practice location
11138 States Bridge Rd, Suite 100A
Johns Creek, GA 30022
Mailing address
6304 Tree Summit Pkwy
Duluth, GA 30096-8080
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | APC008168 (GA) |
| Professional Counselor Primary | 101YP2500X | LPC014486 (GA) |
Professional Counselor: Definition to come...
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About NPI 1801557830
Kemesha Nickelson, LPC's National Provider Identifier is 1801557830, issued on Jan 3, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Johns Creek, GA. The record was last updated on Feb 20, 2024.