Individual
MWANGALA KRISTINE SIBETTA-PATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-LMSW
Contact information
Practice address
367 ATHENS HWY STE 1800, LOGANVILLE, GA 30052-8293
(770) 554-2999
(770) 679-6390
Mailing address
367 ATHENS HWY STE 1800, LOGANVILLE, GA 30052-8293
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/18/2017
Last updated
10/03/2023
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