Individual provider · Type 1 NPI

Kathleen Hennrich

Addiction (Substance Use Disorder) Counselor · Lagrange, GA

NPI number 1679982011 Active

Practice location

122 Gordon Commercial Dr Ste C
Lagrange, GA 30240-5754

Mailing address

301 Bradley St, A208
Carrollton, GA 30117-3238

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X37LC00158400 (NJ)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1679982011

Kathleen Hennrich's National Provider Identifier is 1679982011, issued on Aug 11, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lagrange, GA. The record was last updated on Jun 9, 2016.