Individual
KAYLA OATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 MACON ST STE D, MCDONOUGH, GA 30253-3233
(678) 831-7377
Mailing address
10147 HEMLOCK WAY, JONESBORO, GA 30238-8606
(404) 451-1383
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC010211
GA
106S00000X
Behavior Technician
RBT-20-149544
GA
Other
Enumeration date
12/31/2020
Last updated
02/19/2025
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