Provider Demographics
NPI:1386313211
Name:KAMIN, CATHERINE (LAPC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:KAMIN
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 EMERALD POND DR APT SUITE
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30512-0344
Mailing Address - Country:US
Mailing Address - Phone:770-861-6520
Mailing Address - Fax:
Practice Address - Street 1:129 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HIAWASSEE
Practice Address - State:GA
Practice Address - Zip Code:30546-3435
Practice Address - Country:US
Practice Address - Phone:470-480-9512
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-13
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC006000101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional