ANNE KOHUTKO
NPI 1790176519
Counselor - Professional in Tifton, GA
Active since February 16, 2015
About Anne Kohutko NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNE KOHUTKO (NPI 1790176519) is an individual professional provider in Tifton, Georgia, licensed in Georgia (LPC007999) and active in the NPI registry since February 2015.
NPPES Registry Identity
NPI1790176519
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANNE KOHUTKO
Location Address334 TIFTON ELDORADO RDTifton, GA 31794-9497
Mailing Address334 Tifton Eldorado RdTifton, GA 31794-9497 · (229) 391-2312
Phone(229) 391-2312
Sole ProprietorNo
Enumeration DateFebruary 16, 2015
✔ NPI 1790176519 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC007999
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 504 (GA)
334 TIFTON ELDORADO RD, Tifton, GA 31794
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Community/Behavioral Health
334 TIFTON ELDORADO RD
TIFTON, GA 31794
TIFTON, GA 31794
Community/Behavioral Health
334 TIFTON ELDORADO RD
TIFTON, GA 31794
TIFTON, GA 31794
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790176519, enumerated as an "individual" on February 16, 2015.
The provider is located at 334 TIFTON ELDORADO RD TIFTON, GA 31794 and the phone number is (229) 391-2312.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
