Individual
EMILY COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
915 INTERSTATE RIDGE DR STE G, GAINESVILLE, GA 30501-7076
(404) 210-2750
Mailing address
5938 LEXINGTON WAY, BRASELTON, GA 30517-1620
(678) 207-2908
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001435
GA
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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