Provider Demographics
NPI:1003091125
Name:ZEPF, CAROL BRAUN (LPC)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:BRAUN
Last Name:ZEPF
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4474 TOWNE LAKE PKWY
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30189-8133
Mailing Address - Country:US
Mailing Address - Phone:770-924-8517
Mailing Address - Fax:770-924-4422
Practice Address - Street 1:4474 TOWNE LAKE PKWY
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189-8133
Practice Address - Country:US
Practice Address - Phone:770-924-8517
Practice Address - Fax:770-924-4422
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA3453101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional