Individual
CLERISSA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
6 CONCOURSE PKWY, SUITE 1650, ATLANTA, GA 30328-6117
(404) 408-2950
(770) 804-0018
Mailing address
6 CONCOURSE PKWY, SUITE 1650, ATLANTA, GA 30328-6117
(404) 408-2950
(770) 804-0018
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC0003587
GA
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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