Provider Demographics
NPI:1285641621
Name:KOCHAN, KARYN L (MS, LPC)
Entity Type:Individual
Prefix:MS
First Name:KARYN
Middle Name:L
Last Name:KOCHAN
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 PHOENIX BLVD
Mailing Address - Street 2:STE 540
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30349-5594
Mailing Address - Country:US
Mailing Address - Phone:770-875-6376
Mailing Address - Fax:770-909-9600
Practice Address - Street 1:1720 PHOENIX BLVD
Practice Address - Street 2:STE 540
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30349-5594
Practice Address - Country:US
Practice Address - Phone:770-875-6376
Practice Address - Fax:770-909-9600
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC003766101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional