MEDICARE: KATHLEEN HILL LAPC

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
1	101YP2500X	Professional Counselor	APC005077	GA

General Provider Information

NPI Number	:	1356706170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN HILL LAPC

Provider Business Mailing Address
First Line	:	1127 LEAH LN SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30316-2823
Country	:	US
Telephone Number	:	586-651-9723
Fax Number	:

Provider Business Practice Location Address
First Line	:	1127 LEAH LN SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30316-2823
Country	:	US
Telephone Number	:	586-651-9723
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2015
Last Update Date	:	12/21/2015

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Directions to “ KATHLEEN HILL LAPC” Practice Location

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