MEDICARE: CATHERINE KAMIN 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	APC006000	GA

General Provider Information

NPI Number	:	1386313211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE KAMIN LAPC

Provider Business Mailing Address
First Line	:	156 EMERALD POND DR APT SUITE
Second Line	:
City	:	BLAIRSVILLE
State	:	GA
Zip	:	30512-0344
Country	:	US
Telephone Number	:	770-861-6520
Fax Number	:

Provider Business Practice Location Address
First Line	:	129 S MAIN ST
Second Line	:
City	:	HIAWASSEE
State	:	GA
Zip	:	30546-3435
Country	:	US
Telephone Number	:	470-480-9512
Fax Number	:

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

Provider Enumeration Date	:	09/13/2021
Last Update Date	:	09/13/2021

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Directions to “ CATHERINE KAMIN LAPC” Practice Location

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