Betty Kathleen Demine, LPC
Counselor in Zebulon, GA. Individual provider (NPI-1).
NPI number1366084576
StatusActive
Last updated in NPPESSep 18, 2024
Details
- NPI
- 1366084576
- Entity type
- Individual (NPI-1)
- Name
- Betty Kathleen Demine
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 9, 2019
- Certification date
- Sep 18, 2024
- Last updated
- Sep 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | 007579 | GA |
Practice location
420 Thomaston StZebulon, GA 30295-3387
Phone 404-960-1282 · Fax 855-817-2428
Mailing address
756 Woodbury HwyGreenville, GA 30222-1514
Phone 706-672-1118 · Fax 706-672-1918
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