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NPI Code Detail

MEDICARE: QUINTEN PEPRAH OPPONG LMFT

MEDICARE:   QUINTEN PEPRAH OPPONG  LMFT
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
1106H00000XMarriage & Family TherapistMFT002277GA

General Provider Information

NPI Number : 1255052791
Entity Type Code : Individual
Provider Name (Legal Business Name) : QUINTEN PEPRAH OPPONG LMFT
Provider Business Mailing Address
First Line : 127 HAWKEYE LN
Second Line :
City : CONYERS
State : GA
Zip : 30012-3678
Country : US
Telephone Number : 770-744-7566
Fax Number :
Provider Business Practice Location Address
First Line : 1257 COMMERCIAL DR SW STE A
Second Line :
City : CONYERS
State : GA
Zip : 30094-5991
Country : US
Telephone Number : 770-285-6049
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2022
Last Update Date : 02/18/2026

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Directions to “ QUINTEN PEPRAH OPPONG LMFT” Practice Location

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