Individual
MS. KATHY LYNETTE MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4243 BLACK OAK CT, AUGUSTA, GA 30906-9216
(706) 373-7307
Mailing address
4243 BLACK OAK CT, AUGUSTA, GA 30906-9216
(706) 373-7307
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC011096
GA
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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