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NPI Code Detail

MEDICARE: MS. ERIN MARIE RUPPEL

MEDICARE: MS. ERIN MARIE RUPPEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2101YP2500XProfessional CounselorLPC007584GA

General Provider Information

NPI Number : 1255642450
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ERIN MARIE RUPPEL
Provider Business Mailing Address
First Line : 67 PEACHTREE PARK DR NE STE 102
Second Line :
City : ATLANTA
State : GA
Zip : 30309-1318
Country : US
Telephone Number : 678-858-4308
Fax Number :
Provider Business Practice Location Address
First Line : 67 PEACHTREE PARK DR NE STE 102
Second Line :
City : ATLANTA
State : GA
Zip : 30309-1318
Country : US
Telephone Number : 404-436-2036
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2010
Last Update Date : 07/22/2024

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