Individual
JOSEPH CORY TARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
107 COLONY PARK DR STE 700, CUMMING, GA 30040-2788
(770) 378-7952
Mailing address
5030 IVY NOLE, CUMMING, GA 30040-9711
(770) 378-7952
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009710
GA
Other
Enumeration date
01/06/2018
Last updated
01/06/2018
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