Individual
KATHLEEN DEANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, APC, NCC
Contact information
Practice address
1622 MARS HILL RD STE A, WATKINSVILLE, GA 30677-4893
(706) 310-9046
(706) 310-9076
Mailing address
17 HARDEN HILL RD APT 101, WATKINSVILLE, GA 30677-2496
(706) 614-3792
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC006491
GA
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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