Individual
DR. KRISTEN HEATHER KOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3754 LAVISTA RD STE 200, TUCKER, GA 30084-5627
(470) 344-6551
Mailing address
3044 BRIARCLIFF RD NE APT 7, ATLANTA, GA 30329-2619
(404) 805-9755
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
011784
GA
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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