Individual provider · Type 1 NPI
Patricia Agatston, PhD
Professional Counselor · Cherry Log, GA
NPI number
1336762558
Active
Practice location
7786 Rock Creek Rd
Cherry Log, GA 30522-3013
Mailing address
PO Box 58
Cherry Log, GA 30522-0058
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 1396 (GA) |
Professional Counselor: Definition to come...
About NPI 1336762558
Patricia Agatston, PhD's National Provider Identifier is 1336762558, issued on May 21, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cherry Log, GA. The record was last updated on Sep 29, 2024.