Individual
CATHRIN MICHAELA WILBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
3155 MILL ST NE, COVINGTON, GA 30014-2542
(678) 712-6520
Mailing address
3155 MILL ST NE, COVINGTON, GA 30014-2542
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC009864
GA
Other
Enumeration date
05/14/2014
Last updated
10/12/2017
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