Individual provider · Type 1 NPI

Kristen Heather Koth, LPC

Mental Health Counselor · Tucker, GA

NPI number 1427715085 Active

Practice location

3754 Lavista Rd Ste 200
Tucker, GA 30084-5627

Call (470) 344-6551 Map

Mailing address

3044 Briarcliff Rd NE Apt 7
Atlanta, GA 30329-2619

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X011784 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1427715085

Kristen Heather Koth, LPC's National Provider Identifier is 1427715085, issued on Nov 18, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tucker, GA. The record was last updated on Nov 18, 2021.