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AMBER KICKLIGHTER EDENFIELD LAPC
Professional >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1114275724
Individual Registrant: AMBER KICKLIGHTER EDENFIELD LAPC
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
207 N ANDERSON DR SWAINSBORO, GA 30401-4440 US
Tel: 478-289-2619 Fax: 478-289-2622
Tel: 478-289-2619 Fax: 478-289-2622
Contact information for business:
223 N ANDERSON DR P O BOX 1259 SWAINSBORO, GA 30401-4440 US
Tel: 478-289-2683 Fax: 478-289-2522
Tel: 478-289-2683 Fax: 478-289-2522
Registration Information:
NPI: 1114275724
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YP2500X | Behavioral Health & Social Service Providers Counselor Professional | GA | APC003352 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
