Individual
ANISHA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 POWERS FERRY RD SE STE 110, MARIETTA, GA 30067-5491
(888) 551-5168
(888) 551-5168
Mailing address
1640 POWERS FERRY RD SE STE 110, MARIETTA, GA 30067-5491
(888) 551-5168
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC005759
GA
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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