Individual
MR. CORWIN D COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
338 OLD MONTICELLO RD NW, MILLEDGEVILLE, GA 31061-9648
(478) 457-7598
Mailing address
338 OLD MONTICELLO RD NW, MILLEDGEVILLE, GA 31061-9648
(478) 457-7598
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC007723
GA
101YM0800X
Mental Health Counselor
Primary
LPC007723
GA
Other
Enumeration date
07/19/2017
Last updated
09/11/2025
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