Individual
DR. KATHARINE SUSAN ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2236 BEMISS RD, VALDOSTA, GA 31602-1942
(229) 474-9800
Mailing address
951 S BROADWAY ST, LAKE PARK, GA 31636-2744
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC010271
GA
103T00000X
Psychologist
Primary
PSY003423
GA
Other
Enumeration date
04/28/2019
Last updated
04/28/2019
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