Kareem Osborne
Individual provider Active NPI Counselor · Clarkston, GA
NPI 1194262147 · NPPES record last updated Jan 30, 2017
Key facts
- NPI
- 1194262147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 1901 Wild Cir
Clarkston, GA 30021-1482 - Phone
- (404) 957-6238
- NPI assigned
- Jan 30, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
1901 Wild Cir
Clarkston, GA 30021-1482
Mailing address
5021 Northshore CT SW
Conyers, GA 30094-4736
Other providers in Clarkston, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.