Individual
IRVIN HARLEY KOORIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
1640 POWERS FERRY RD SE, MARIETTA, GA 30067-5491
(678) 510-8800
Mailing address
3003 BYRONS POND DR, MARIETTA, GA 30062-8330
(678) 510-8800
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009326
GA
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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