Kia Marie Bammes, LPC
Counselor, Professional in Dacula, GA. Individual provider (NPI-1).
NPI number1578200069
StatusActive
Last updated in NPPESMay 16, 2022
Details
- NPI
- 1578200069
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kia Marie Bammes
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 16, 2022
- Certification date
- May 16, 2022
- Last updated
- May 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC012905 | GA | Yes |
Practice location
2776 Cove View CtDacula, GA 30019-4714
Phone 470-677-4147
Mailing address
2776 Cove View CtDacula, GA 30019-4714
Phone 470-677-4147
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