Individual
KATHRYN ANN PETTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
295 S CULVER ST STE D, LAWRENCEVILLE, GA 30046-3239
(770) 995-5555
(770) 497-0130
Mailing address
1241 BAYNES POINT DR, SUWANEE, GA 30024-2848
(404) 606-3247
(770) 497-0130
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2113
GA
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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