Individual
KECIA CAWTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6011 ROUND HILL RD, COLUMBUS, GA 31904-2881
(706) 718-3160
(706) 596-5589
Mailing address
6011 ROUND HILL RD, COLUMBUS, GA 31904-2881
(706) 718-3160
(706) 596-5589
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC002175
GA
101YM0800X
Mental Health Counselor
LPC002175
GA
101YP2500X
Professional Counselor
Primary
LPC002175
GA
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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