Provider Demographics
NPI:1962173500
Name:HOPPER, CINDY L (CRC, NCC)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:L
Last Name:HOPPER
Suffix:
Gender:F
Credentials:CRC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 CUMBERLAND CIR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30306-3203
Mailing Address - Country:US
Mailing Address - Phone:770-313-1615
Mailing Address - Fax:
Practice Address - Street 1:6100 LAKE FORREST DR
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-3822
Practice Address - Country:US
Practice Address - Phone:404-343-4162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-23
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional