KATHLEEN HENNRICH

LAGRANGE, GA
NPI1679982011
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ  37LC00158400)
Enumeration Date2014-08-11
Last Update Date2016-06-09
Business Address
-- KATHLEEN HENNRICH
122 GORDON COMMERCIAL DR STE C
LAGRANGE, GA 30240-5754
Phone number: 770-836-6678
Mailing Address
-- KATHLEEN HENNRICH
301 BRADLEY ST A208
CARROLLTON, GA 30117-3238
Phone number: