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Individual

KATRINA M CANADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NCC,LPC,CPCS

Contact information

Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 456-6965
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
012345
GA
101YM0800X
Mental Health Counselor
74961
TX
101YM0800X
Mental Health Counselor
S8569
NC
101YM0800X
Mental Health Counselor
TLC263PC
SC
101YM0800X
Mental Health Counselor
TPMC2654
FL
101YP2500X
Professional Counselor
012345
GA
101YP2500X
Professional Counselor
74961
TX
101YP2500X
Professional Counselor
S8569
NC
101YP2500X
Professional Counselor
TLC263PC
SC
101YP2500X
Professional Counselor
TPMC2654
FL

Other

Enumeration date
07/11/2013
Last updated
02/20/2025
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