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1174133128
TERISTAN COOPER
ALPHARETTA, GA
NPI
1174133128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA 011471)
Enumeration Date
2020-08-05
Last Update Date
2020-08-05
Business Address
Mr. TERISTAN COOPER LPC
296 S MAIN ST STE 200
ALPHARETTA, GA 30009-1973
Phone number: 470-283-9233
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Mailing Address
Mr. TERISTAN COOPER LPC
3977 COVEY FLUSH CT SW
SMYRNA, GA 30082-3559
Phone number:
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