Doctor Name: | MS. CAROL BRAUN ZEPF |
NPI Number: | 1003091125 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C. |
License Number: | 3453 |
Business Practice Address: | 4474 Towne Lake Pkwy Woodstock, GA - 301898133 |
Business Phone Number: | 7709248517 |
Business Fax Number: | 7709244422 |
Mailing Address: | 4474 Towne Lake Pkwy, WOODSTOCK |
State: | GA |
Postal Code: | 301898133 |
Phone Number: | 7709248517 |
Fax Number: | 7709244422 |
NPI Enumeration Date: | 01/08/2008 |
NPI Last Update Date: | 01/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 3453 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |