Provider Demographics
NPI:1558036442
Name:COOPER, CHRISTOPHER J (BS, MS, MBA, RMSI)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:J
Last Name:COOPER
Suffix:
Gender:M
Credentials:BS, MS, MBA, RMSI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 FESTOON CT
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-5547
Mailing Address - Country:US
Mailing Address - Phone:404-660-4912
Mailing Address - Fax:
Practice Address - Street 1:100 FESTOON CT
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-5547
Practice Address - Country:US
Practice Address - Phone:404-919-4601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor