Individual
KATHY B KALLMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
892 DEERCREST CIR, EVANS, GA 30809-4228
(706) 831-9313
(706) 722-7473
Mailing address
892 DEERCREST CIR, EVANS, GA 30809-4228
(706) 496-2264
(706) 722-7473
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC004793
GA
101YP2500X
Professional Counselor
Primary
PC002679
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1448343
HIGHMARK BSBC
PA
Enumeration date
03/24/2006
Last updated
06/09/2008
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