Individual
KATELYN DEROGATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
4300 WESTBROOK RD, SUWANEE, GA 30024-4987
(660) 988-4841
Mailing address
4300 WESTBROOK RD, SUWANEE, GA 30024-4987
(660) 988-4841
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC007445
GA
101YM0800X
Mental Health Counselor
LPC013813
GA
Other
Enumeration date
07/21/2020
Last updated
04/27/2023
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