Individual
KIM TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, NCC, LAPC
Contact information
Practice address
2900 CHAMBLEE TUCKER RD, ATLANTA, GA 30341-4100
(404) 550-9151
Mailing address
705 BIRCH RIDGE DR, ROSWELL, GA 30076-4606
(404) 217-6308
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LPC 005649
GA
Other
Enumeration date
01/17/2008
Last updated
08/18/2015
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