Individual
MRS. CATHERINE AVERY GOUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, APC, NCC
Contact information
Practice address
45 W CROSSVILLE RD STE 510, ROSWELL, GA 30075-2964
(770) 702-2982
Mailing address
45 W CROSSVILLE RD STE 510, ROSWELL, GA 30075-2964
(770) 702-2982
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
APC007941
GA
Other
Enumeration date
05/05/2021
Last updated
12/13/2021
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