NPI Profile for KATHERYN D MCDONELL in FAYETTEVILLE, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Counselor |
101Y00000X |
| NPI # | 1174700769 |
|
| Status | Active | |
| Credentials | CNS-BC (Clinical Nurse Specialist Core) | |
| Entity | Individual | |
| Enumeration date | 01/25/2008 | |
| Last updated | 01/25/2008 - About 18 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KATHERYN D MCDONELL
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