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Organization
WISHING WELL COUNSELING & CONSULTING
Active
Organization
WISHING WELL COUNSELING & CONSULTING
Active
Other names
Wishing Well ATL
Organization subpart
No
Provider details
NPI number
Authorized official
ANISHA COOPER M.ED, LPC, CCTP, NCC (OWNER)
(678) 948-9817
Entity
Organization
Contact information
Practice address
540 POWDER SPRINGS ST STE C17, MARIETTA, GA 30064-3561
(678) 948-6817
Mailing address
540 POWDER SPRINGS ST STE C17, MARIETTA, GA 30064-3561
(678) 948-6817
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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