person
Irvin Harley Kooris, MED
Professional Counselor in Marietta, Georgia
NPI 1184277923

Irvin Harley Kooris is a Professional Counselor based in Marietta, GA and is specialized in Professional. Irvin Harley Kooris practices in Marietta, GA and has the professional credentials of MED. The NPI Number for Irvin Harley Kooris is 1184277923 and holds a License No. LPC009326 (Georgia).

The current practice location address for Irvin Harley Kooris is 1640 Powers Ferry Rd Se, Marietta, GA and can be reached out via phone at 678-510-8800.

Location: 1640 Powers Ferry Rd Se, Marietta, GA, 30062-8330
person
Provider Profile Details
NPI Number
1184277923
Provider Name
Irvin Harley Kooris
Credential
MED
Provider Entity Type
Individual
Gender
Male
Address
1640 Powers Ferry Rd Se, Marietta, GA, 30062-8330
Phone Number
678-510-8800
Fax Number
Provider Enumeration Date
07/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1640 Powers Ferry Rd Se
City
State
Zip
30067-5491
Phone Number
678-510-8800
Fax Number
person
Provider Business Mailing Address Details
Address
1640 Powers Ferry Rd Se
City
State
Zip
30067-5491
Phone Number
678-510-8800
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC009326 (Georgia)
Definition
Definition to come...
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