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DR. KATHARINE SUSAN ADAMS PHD
Professional >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1093379786
Individual Registrant:DR. KATHARINE SUSAN ADAMS PHD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
2236 BEMISS RD VALDOSTA, GA 31602-1942 US
Tel: 229-474-9800 Fax: --
Tel: 229-474-9800 Fax: --
Contact information for business:
951 S BROADWAY ST LAKE PARK, GA 31636-2744 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1093379786
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101YP2500X | Behavioral Health & Social Service Providers Counselor Professional | GA | LPC010271 |
| Y | 103T00000X | Behavioral Health & Social Service Providers Psychologist | GA | PSY003423 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
