Individual
KATHERINE KEESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
1551 JENNINGS MILL RD UNIT 1700B, WATKINSVILLE, GA 30677-7266
(762) 222-1886
Mailing address
1551 JENNINGS MILL RD UNIT 1700B, WATKINSVILLE, GA 30677-7266
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC006189
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014M0800X
—
GA
Enumeration date
11/29/2018
Last updated
11/29/2018
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