MEDICARE: EDURNE CHOPEITIA

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
1	101YM0800X	Mental Health Counselor	LPC010942	GA

General Provider Information

NPI Number	:	1043876956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDURNE CHOPEITIA

Provider Business Mailing Address
First Line	:	41 LENOX POINTE NE STE A
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-7424
Country	:	US
Telephone Number	:	770-262-1321
Fax Number	:

Provider Business Practice Location Address
First Line	:	41 LENOX POINTE NE STE A
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-7424
Country	:	US
Telephone Number	:	770-262-1321
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2019
Last Update Date	:	05/15/2019

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Directions to “ EDURNE CHOPEITIA ” Practice Location

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