Kathryn Agel
Individual provider Active NPI Professional Counselor · Watkinsville, GA
NPI 1891363941 · NPPES record last updated Jun 28, 2021
Key facts
- NPI
- 1891363941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC011538 (GA)
- Practice address
- 1551 Jennings Mill Rd Unit 2200a
Watkinsville, GA 30677-7270 - Phone
- (470) 236-1182
- NPI assigned
- Jun 15, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC011538 | GA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC011538 | GA | Yes |
Addresses
Primary practice location
1551 Jennings Mill Rd Unit 2200a
Watkinsville, GA 30677-7270
Mailing address
1551 Jennings Mill Rd Unit 2200a
Watkinsville, GA 30677-7270
Phone (470) 236-1182
Other practice location 1
140 Anna Dr
Athens, GA 30606-3136
Phone (706) 829-2857
Other providers in Watkinsville, GA
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- Adfc-Watkinsville PC
- Advanced Gynecology PC
- Agape Hospice Care of Clarke County, LLC
- Robert K Ahrens
- Elizabeth Cavanah Albers
- Aletheia Health & Wellness LLC
- Gena D Alexander-Albert
- Jan Brooks Allen
All providers in Watkinsville, GA · Professional Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2021. 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.