Provider Demographics
NPI:1194292383
Name:TRAMMELL, CATHERINE J (LPC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:J
Last Name:TRAMMELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 MARS HILL RD STE 1
Mailing Address - Street 2:
Mailing Address - City:WATKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30677-4814
Mailing Address - Country:US
Mailing Address - Phone:970-564-4855
Mailing Address - Fax:
Practice Address - Street 1:1120 MARS HILL RD STE 1
Practice Address - Street 2:
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677-4814
Practice Address - Country:US
Practice Address - Phone:970-564-4855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-25
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC013523101YP2500X
COLPC.0016755101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty