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Sandra Renee Kootsikas, LPC
Counselor in Atlanta, Georgia
NPI 1013110501

Sandra Renee Kootsikas is a Counselor based in Atlanta, GA. Sandra Renee Kootsikas practices in Atlanta, GA and has the professional credentials of LPC. The NPI Number for Sandra Renee Kootsikas is 1013110501 and holds a License No. LPC002570 (Georgia).

The current practice location address for Sandra Renee Kootsikas is 1105 W Peachtree St Nw, Atlanta, GA and can be reached out via phone at 678-472-1820.

Location: 1105 W Peachtree St Nw, Atlanta, GA, 30324-4542
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013110501
Provider Name
Sandra Renee Kootsikas
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1105 W Peachtree St Nw, Atlanta, GA, 30324-4542
Phone Number
678-472-1820
Fax Number
Provider Enumeration Date
06/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
251S0000X 01 GA ORGANIZATION TAXONOMY COD
institution
Provider Business Practice Location Address Details
Address
1105 W Peachtree St Nw
City
Atlanta
State
Georgia
Zip
30309-3608
Phone Number
678-472-1820
Fax Number
person
Provider Business Mailing Address Details
Address
1105 W Peachtree St Nw
City
Atlanta
State
Georgia
Zip
30309-3608
Phone Number
678-472-1820
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LPC002570 (Georgia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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