Individual
MR. MATTHEW TANNER CAPOGRECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1012 LOGAN AVE, ROSSVILLE, GA 30741-1869
(229) 343-3536
Mailing address
1012 LOGAN AVE, ROSSVILLE, GA 30741-1869
(229) 343-3536
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC015879
GA
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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