Individual
APRIL MICHELLE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 N MAIN ST, MOULTRIE, GA 31768-3319
(229) 891-7375
Mailing address
PO BOX 864, PELHAM, GA 31779-0864
(229) 869-6904
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC011121
GA
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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