Individual provider · Type 1 NPI
Tabria Corprew
Professional Counselor · Pooler, GA
NPI number
1700425964
Active
Practice location
101 Blue Moon Crossing Ste. 3, Unit 114
Pooler, GA 31322
Mailing address
101 Blue Moon Crossing, Suite 3, Unit 114
Pooler, GA 31322
Other practice locations
- 5205 Addison Pl, Pooler, GA 31322-9482 · (912) 682-1383
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC011310 (GA) |
Professional Counselor: Definition to come...
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About NPI 1700425964
Tabria Corprew's National Provider Identifier is 1700425964, issued on Jan 4, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pooler, GA. The record was last updated on Jun 16, 2021.