Provider Demographics
NPI:1205012903
Name:COTTON-EVERETT, KAREN PATRICIA (LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:PATRICIA
Last Name:COTTON-EVERETT
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4586 ENGLISH IVY DR
Mailing Address - Street 2:
Mailing Address - City:FORTSON
Mailing Address - State:GA
Mailing Address - Zip Code:31808-6871
Mailing Address - Country:US
Mailing Address - Phone:770-328-7934
Mailing Address - Fax:
Practice Address - Street 1:1645 HUNTER RD
Practice Address - Street 2:
Practice Address - City:CATAULA
Practice Address - State:GA
Practice Address - Zip Code:31804-2405
Practice Address - Country:US
Practice Address - Phone:770-328-7934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-14
Last Update Date:2018-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005990101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional