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KATRINA COOPER

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1750756524

Individual Registrant:
 KATRINA  COOPER 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2830 BURTONS FERRY HWY  SYLVANIA, GA 30467-4513 US
Tel: 800-317-0364  Fax: --

Contact information for business:
1115 N COLUMBIA AVE UNIT 4 RINCON, GA 31326-6825 US
Tel: 800-317-0364  Fax: --

Registration Information:
NPI: 1750756524
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
GALPC006513

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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