Kathryn Petterson Llc in Lawrenceville - Counselor

Kathryn Petterson Llc - NPI 1568529170

Kathryn Petterson Llc is a Counselor in Lawrenceville, Georgia. Kathryn Petterson Llc practices all healthcare services and medical treatments related to Counselor. The NPI Number for Kathryn Petterson Llc is 1568529170. The last update date is 2020-05-22.

Kathryn Petterson Llc's current location address is 295 S Culver St Ste D, Lawrenceville, Georgia. You can contact this provider via phone number 7709955555 and fax number 7704970130. The mailing address for Kathryn Petterson Llc is 295 S Culver St Ste D, Lawrenceville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kathryn Petterson Llc
Address 295 S Culver St Ste D, Lawrenceville, Georgia
Phone Number 7709955555
Fax Number 7704970130
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Petterson Ann Kathryn
Credentials PHD
Telephone Number 4046063247

NPI Number Detail

NPI Number 1568529170
Provider Enumeration Date 2007-01-02
Last Updated Date 2020-05-22

Provider Mailing Address Detail

Address 295 S Culver St Ste D
City Lawrenceville
State Georgia (GA)
Post Code 300463239
Phone Number 7709955555
Fax Number 7704970130

Provider's Primary Taxonomy Detail

Speciality Counselor
Taxonomy 101Y00000X
Licence No LPC2113
Definition:
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe

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FAQs about Kathryn Petterson Llc

What is the unique 10-digit identification code issued to Kathryn Petterson Llc by the Centers for Medicare & Medicaid Services?

The Kathryn Petterson Llc has been assigned the NPI (National Provider Identifier) 1568529170 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Kathryn Petterson Llc is geographically located?

The Kathryn Petterson Llc is physically situated at the following location: 295 S Culver St Ste D, Lawrenceville, GA, 300463239.

What is Kathryn Petterson Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kathryn Petterson Llc is Counselor, and the taxonomy code that categorizes this field of expertise is 101Y00000X.

On what date did Kathryn Petterson Llc receive its 1568529170 assignment from the Centers for Medicare & Medicaid Services?

The Kathryn Petterson Llc was assigned its 1568529170 on 2007-01-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Kathryn Petterson Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kathryn Petterson Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-05-22.

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