Individual
MARK KOOSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4649 APPLE RIDGE LN, GRAHAM, NC 27253-8276
(610) 202-3523
Mailing address
4649 APPLE RIDGE LN, GRAHAM, NC 27253-8276
(610) 202-3523
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
20157A
NC
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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