Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberley Canupp Colluro, LPC

Individual provider Professional Counselor · NPI 1689646192

Kimberley Canupp Colluro, LPC is a Professional Counselor in Braselton, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

26 Charlie Smith Rd
Braselton, GA 30517-2500
Phone: (770) 654-6836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC004144 (GA)

Record details

NPI number1689646192
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedFebruary 7, 2006
Last updated in NPPESMarch 20, 2013

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