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NPI Code Detail

MEDICARE: MRS. CATHERINE OGLE EGENES LMFT

MEDICARE: MRS. CATHERINE OGLE EGENES LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistMFT001355GA

General Provider Information

NPI Number : 1518334499
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CATHERINE OGLE EGENES LMFT
Provider Business Mailing Address
First Line : 199 ARMOUR DR NE STE E
Second Line :
City : ATLANTA
State : GA
Zip : 30324-3975
Country : US
Telephone Number : 770-580-4234
Fax Number :
Provider Business Practice Location Address
First Line : 199 ARMOUR DR NE STE E
Second Line :
City : ATLANTA
State : GA
Zip : 30324-3975
Country : US
Telephone Number : 404-825-3266
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2015
Last Update Date : 11/22/2021

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