Individual
MRS. MARTHA KITCHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
7193 DOUGLAS BLVD, SUITE 103, DOUGLASVILLE, GA 30135-1540
(770) 942-9361
(770) 947-9840
Mailing address
7193 DOUGLAS BLVD, SUITE 103, DOUGLASVILLE, GA 30135-1540
(770) 942-9361
(770) 947-9840
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
873
GA
106H00000X
Marriage & Family Therapist
321
GA
Other
Enumeration date
09/02/2006
Last updated
09/11/2025
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