Individual
KATHERINE AMANDA PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAADC
Contact information
Practice address
229 S DAVIS RD STE 900, LAGRANGE, GA 30241-2609
(706) 756-1489
(706) 756-1493
Mailing address
1150 COUNTY ROAD 61, ROANOKE, AL 36274-4652
(334) 646-9345
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C0291
GA
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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