Provider Demographics
NPI:1902622400
Name:JAMES, CATHY (CADC-R)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:CADC-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 GENTIAN BLVD # 8A
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907-5670
Mailing Address - Country:US
Mailing Address - Phone:706-392-6982
Mailing Address - Fax:
Practice Address - Street 1:3100 GENTIAN BLVD # 8A
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907-5670
Practice Address - Country:US
Practice Address - Phone:706-392-6982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-29
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program