Individual provider · Type 1 NPI

Anne Kohutko

Professional Counselor · Tifton, GA

NPI number 1790176519 Active

Practice location

334 Tifton Eldorado Rd
Tifton, GA 31794-9497

Call (229) 391-2312 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X504 (GA)
Professional Counselor Primary 101YP2500XLPC007999 (GA)

Professional Counselor: Definition to come...

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About NPI 1790176519

Anne Kohutko's National Provider Identifier is 1790176519, issued on Feb 16, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tifton, GA. The record was last updated on Feb 16, 2015.