KATHERYN D. MCDONELL


Address: 110 Dawn Drive, Fayetteville, GA 30215
Phone: 7704618882

KATHERYN D. MCDONELL (NPI# 1174700769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174700769
Entity Type Individual
Full Name KATHERYN D. MCDONELL
Credential CNS-BC
Practice Address 110 Dawn Drive
Fayetteville
GA 30215
Practice Telephone 7704618882
Mailing Telephone 7704618882
Enumeration Date 2008-01-25
Last Update Date 2008-01-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor LPC1247 GA Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
RN028740 GA Behavioral Health & Social Service Providers

Office Location

Street Address 110 DAWN DRIVE
City FAYETTEVILLE
State GA
Zip Code 30215

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City FAYETTEVILLE
Zip Code 30215

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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