Candice P. Cooper PHD

NPI 1891032322 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1891032322
Gender Female
Enumeration Date 01/03/2013
Last Updated 03/03/2015
Entity Type Individual
Active Over 3 years ago
Practice Location
500 LANIER AVE W
SUITE 908
FAYETTEVILLE GA, 30214-7636, US
Phone (678) 561-4468
Fax
Business Location
500 LANIER AVE W
SUITE 908
FAYETTEVILLE GA, 30214-7636, US
Phone (716) 348-9483
Fax
Toxanomy
Taxonomy Code 106H00000X
License State Georgia
License Number MFT001322
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According to our database, Dr. Candice P. Cooper PHD NPI is 1891032322, taxonomy code is 106H00000X and license number is MFT001322, license state is located at Georgia. Candice P. Cooper PHD physically located at 500 Lanier Ave W, Fayetteville GA, 30214-7636. NPI Number Candice P. Cooper PHD has the Individual type.

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1891032322 NPI number is provided on an as is basis without warranty of any kind. 1891032322 is maintained by the National Plan & Provider Enumeration System. The contents of Candice P. Cooper PHD are for informational purposes only.