Individual provider · Type 1 NPI

Kathleen Shack, M.S., LMFT

Marriage & Family Therapist · Lawrenceville, GA

NPI number 1164567137 Active

Practice location

290 Constitution Blvd, Suite D
Lawrenceville, GA 30045-5638

Call (678) 220-0090 Map

Mailing address

5825 Millwick Dr
Alpharetta, GA 30005-6732

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	0000928 (GA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1164567137

Kathleen Shack, M.S., LMFT's National Provider Identifier is 1164567137, issued on Feb 20, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Lawrenceville, GA. The record was last updated on Jul 8, 2007.