person
Anne Kohutko
Professional Counselor in Tifton, Georgia
NPI 1790176519

Anne Kohutko is a Professional Counselor based in Tifton, GA and is specialized in Professional. Anne Kohutko practices in Tifton, GA. The NPI Number for Anne Kohutko is 1790176519 and holds a License No. 504 (Georgia).

The current practice location address for Anne Kohutko is 334 Tifton Eldorado Rd, Tifton, GA and can be reached out via phone at 229-391-2312.

Location: 334 Tifton Eldorado Rd, Tifton, GA, 31794-9497
person
Provider Profile Details
NPI Number
1790176519
Provider Name
Anne Kohutko
Credential
Provider Entity Type
Individual
Gender
Female
Address
334 Tifton Eldorado Rd, Tifton, GA, 31794-9497
Phone Number
229-391-2312
Fax Number
Provider Enumeration Date
02/16/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
334 Tifton Eldorado Rd
City
State
Zip
31794-9497
Phone Number
229-391-2312
Fax Number
person
Provider Business Mailing Address Details
Address
334 Tifton Eldorado Rd
City
State
Zip
31794-9497
Phone Number
229-391-2312
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LPC007999 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
504 (Georgia)
Definition
Definition to come...
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