Cecelia Marie Mack LPC

NPI 1114104478 - Counselor - 101YP2500X

NPI Details
NPI 1114104478
Gender Female
Enumeration Date 01/29/2008
Last Updated 01/29/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
265 BOULEVARD NE
ATLANTA GA, 30312-1208, US
Phone (404) 730-1650
Fax
Business Location
1249 WATERTON TRL
DOUGLASVILLE GA, 30134-3689, US
Phone (770) 947-6307
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Georgia
License Number LPC004994
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According to our database, Cecelia Marie Mack LPC NPI is 1114104478, taxonomy code is 101YP2500X and license number is LPC004994, license state is located at Georgia. Cecelia Marie Mack LPC physically located at 265 Boulevard Ne, Atlanta GA, 30312-1208. NPI Number Cecelia Marie Mack LPC has the Individual type.

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1114104478 NPI number is provided on an as is basis without warranty of any kind. 1114104478 is maintained by the National Plan & Provider Enumeration System. The contents of Cecelia Marie Mack LPC are for informational purposes only.