Kacey Gammon, LPC

NPI #1356702906 in Statesboro, Georgia

Provider Information

NPI Number: 1356702906
Entity Type: Individual
Name: Kacey Gammon, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Mar 10, 2016
Last Updated: Mar 10, 2016

Practice Location

Address: 209 S COLLEGE ST
City: Statesboro
State: Georgia
ZIP Code: 30458-5255
Phone: (912) 764-1817

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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