Individual
COREY TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2751 BUFORD HWY NE, SUITE 700, ATLANTA, GA 30324-3207
(706) 566-1240
Mailing address
2751 BUFORD HWY NE, SUITE 700, ATLANTA, GA 30324-3207
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC008615
GA
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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