Individual
CHARLES J. POPOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
145 GOVERNORS SQ STE A, PEACHTREE CITY, GA 30269-4861
(770) 668-3130
Mailing address
PO BOX 302, TURIN, GA 30289-0302
(770) 668-3130
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006004
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003014588
—
GA
Enumeration date
12/29/2010
Last updated
01/30/2019
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