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Individual

KATIE DURHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
5700 VETERANS PKWY, COLUMBUS, GA 31904-9093
(706) 221-3222
(706) 223-1934
Mailing address
6003 VETERANS PKWY STE 100, COLUMBUS, GA 31909-6284
(706) 223-1933

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003200761A
GA
Enumeration date
12/28/2012
Last updated
09/12/2023
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