IndividualActive
Anne Kohutko
NPI 1790176519 · Professional Counselor · Tifton, GA
Provider details
- NPI number
- 1790176519
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 504 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
334 Tifton Eldorado Rd
Tifton, GA 31794-9497
Phone: (229) 391-2312
Approximate (ZIP-level) locationGet directions
Mailing address
334 Tifton Eldorado Rd
Tifton, GA 31794-9497
Registry dates
- Enumerated
- 2015-02-16
- Last updated
- 2015-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.