Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN HENNRICH
Active Sole ProprietorAddiction (Substance Use Disorder) Counselor · LAGRANGE, GA
Registration Details
- NPI Number
- 1679982011
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 11, 2014 (11.703615637004 yrs)
- Last Updated
- Jun 9, 2016
- License
-
37LC00158400 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
122 GORDON COMMERCIAL DR STE CLAGRANGE, GA, 302405754Browse GA providers · Browse ZIP 30240
- Phone
- 7708366678
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in LAGRANGE, GA
| Name | Credential | NPI |
|---|---|---|
| WAYDE JENNINGS WASHBURN | CAC II, NCAC I | 1437448362 |
| SHERRI AFOLABI | — | 1417460270 |
| CAMILLE CLEMONS | — | 1316450182 |
| SAYSHA BUCHANAN | — | 1760979942 |
| KONRAD DEISS | — | 1437646064 |
| KATHERINE AMANDA PARKS | CAADC | 1881151769 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.