Provider Demographics
NPI:1992457576
Name:KESLER, KATHRYN CRAWFORD (MS, LAPC)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:CRAWFORD
Last Name:KESLER
Suffix:
Gender:F
Credentials:MS, LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1518 NIGHTINGALE ST
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:GA
Mailing Address - Zip Code:30549-4626
Mailing Address - Country:US
Mailing Address - Phone:706-202-4940
Mailing Address - Fax:
Practice Address - Street 1:20 LEE ST STE 2
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:GA
Practice Address - Zip Code:30549-6327
Practice Address - Country:US
Practice Address - Phone:706-298-8874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-25
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC008219101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health