Individual
GREGORY PRESCOTT COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1640 POWERS FERRY RD SE STE 300, MARIETTA, GA 30067-5491
(678) 764-6047
Mailing address
1640 POWERS FERRY RD, BLG 7, SUITE 300, MARIETTA, GA 30067
(678) 764-6047
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001452
GA
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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