Individual
KATRINA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2830 BURTONS FERRY HWY, SYLVANIA, GA 30467-4513
(800) 317-0364
Mailing address
1115 N COLUMBIA AVE, UNIT 4, RINCON, GA 31326-6825
(800) 317-0364
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006513
GA
Other
Enumeration date
12/04/2015
Last updated
02/28/2017
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