Most Relevant Information
Provider Data
| NPI Number: | 1003558412 |
| Provider Name: | KATHERINE TUCKER WATERS LPC, ATR-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 221700000X |
| Specialty: | Art Therapist |
| License Number: | 17105 |
Most Important Dates
| Enumeration Date: | 04/07/2022 |
| Last Updated: | 04/07/2022 |
Provider Practice Location
KALON CHRISTIAN COUNSELING
327 E JACKSON ST, SUITE A
THOMASVILLE
GA
31792
Practice Location Phone/Fax
| Phone: | 2292347447 |
| Fax: |
Provider Mailing Location
122 S PASTIME DR
THOMASVILLE
GA
317926672
Provider Mailing Phone/Fax
| Phone: | 7036255283 |
| Fax: |