Individual
MRS. CATELYN DAKE DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
3966 S BOGAN RD, BUFORD, GA 30519-8633
(678) 765-8276
(678) 765-8274
Mailing address
PO BOX 374, BRASELTON, GA 30517-0007
(413) 776-4357
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
APC005155
GA
101YP2500X
Professional Counselor
Primary
LPC009740
GA
Other
Enumeration date
05/24/2016
Last updated
09/20/2021
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