Individual
DAVID KOEPNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LAPC, CAMS-II
Contact information
Practice address
644 N CHASE ST # 104, ATHENS, GA 30601-1960
(706) 898-3276
Mailing address
158 OAK MEADOW DR, ATHENS, GA 30605-4550
(706) 765-7512
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC014879
GA
Other
Enumeration date
02/11/2021
Last updated
12/11/2024
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