Kendra Witherspoon, LPC
Counselor, Professional in Atlanta, GA. Individual provider (NPI-1).
NPI number1093229643
StatusActive
Last updated in NPPESOct 31, 2022
Details
- NPI
- 1093229643
- Entity type
- Individual (NPI-1)
- Name
- Kendra Witherspoon
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2017
- Certification date
- Oct 25, 2022
- Last updated
- Oct 31, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 008797 | GA | Yes |
Other names
- Kendra Kelly (Other Name)
Practice location
730 Peachtree St Ne Ste 570Atlanta, GA 30308
Phone 404-482-0009
Mailing address
Po Box 18382Atlanta, GA 30316-0382
Phone 404-482-0009
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