Kandrain Anthony
Counselor, Mental Health in Mcdonough, GA. Individual provider (NPI-1).
NPI number1083087704
StatusActive
Last updated in NPPESNov 3, 2015
Details
- NPI
- 1083087704
- Entity type
- Individual (NPI-1)
- Name
- Kandrain Anthony
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 3, 2015
- Last updated
- Nov 3, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
125 S Zack Hinton PkwyMcdonough, GA 30253-3335
Phone 678-432-3330 · Fax 678-432-3662
Mailing address
125 S Zack Hinton PkwyMcdonough, GA 30253-3335
Phone 678-432-3330 · Fax 678-432-3662
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