Kashon Mells, LPC
Counselor, Professional in Hephzibah, GA. Individual provider (NPI-1).
NPI number1164096376
StatusActive
Last updated in NPPESMay 13, 2021
Details
- NPI
- 1164096376
- Entity type
- Individual (NPI-1)
- Name
- Kashon Mells
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 13, 2021
- Certification date
- May 13, 2021
- Last updated
- May 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC012199 | GA | Yes |
Practice location
2857 Tobacco Rd Ste 1Hephzibah, GA 30815-9001
Phone 706-871-1323
Mailing address
1823 Mickie Ann WayHephzibah, GA 30815-8931
Phone 706-871-1323
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