Individual provider · Type 1 NPI
Kathryn Ann Petterson, PhD
Mental Health Counselor · Lawrenceville, GA
NPI number
1952933244
Active
Practice location
295 S Culver St Ste D
Lawrenceville, GA 30046-3239
Fax (770) 497-0130
Mailing address
1241 Baynes Point Dr
Suwanee, GA 30024-2848
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 2113 (GA) |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1952933244
Kathryn Ann Petterson, PhD's National Provider Identifier is 1952933244, issued on Feb 5, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lawrenceville, GA. The record was last updated on Feb 5, 2020.