Provider Demographics
NPI:1598238628
Name:HUDNALL, SABRINA KARMA (LPC, NCC, MAC,)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:KARMA
Last Name:HUDNALL
Suffix:
Gender:F
Credentials:LPC, NCC, MAC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 GEYSER PL
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-0969
Mailing Address - Country:US
Mailing Address - Phone:678-468-0001
Mailing Address - Fax:
Practice Address - Street 1:1775 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-9118
Practice Address - Country:US
Practice Address - Phone:470-430-4948
Practice Address - Fax:678-272-6932
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-11
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC008667101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional