Individual
MRS. KATINA R HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1035 MAIN ST, FOREST PARK, GA 30297-1441
(770) 883-7581
Mailing address
1035 MAIN ST, FOREST PARK, GA 30297-1441
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFT001639
GA
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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