Provider Demographics
NPI:1558962027
Name:KAUPER, EVAN (MS, NCC)
Entity Type:Individual
Prefix:
First Name:EVAN
Middle Name:
Last Name:KAUPER
Suffix:
Gender:M
Credentials:MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2002 SMITH DR NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-1851
Mailing Address - Country:US
Mailing Address - Phone:205-937-9950
Mailing Address - Fax:
Practice Address - Street 1:2002 SMITH DR NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-1851
Practice Address - Country:US
Practice Address - Phone:205-937-9950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-02
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health