Dallas Family Counseling Center

NPI 1093857419 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1093857419
Enumeration Date 02/13/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARK STEPHEN MARK
Position OWNER-DIRECTOR
Phone (770) 445-6358
Fax (770) 445-7262
Practice Location
110 EVANS MILL DR
SUITE 305
DALLAS GA, 30157-1622, US
Phone (770) 445-6358
Fax (770) 445-7262
Business Location
110 EVANS MILL DR
SUITE 305
DALLAS GA, 30157-1622, US
Phone (770) 445-6358
Fax (770) 445-7262
Toxanomy
Taxonomy Code 106H00000X
License State Georgia
License Number 888
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According to our database, Dallas Family Counseling Center NPI is 1093857419, taxonomy code is 106H00000X and license number is 888, license state is located at Georgia. Dallas Family Counseling Center physically located at 110 Evans Mill Dr, Dallas GA, 30157-1622. NPI Number 1033115704 has the healthcare provider type.

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1093857419 NPI number is provided on an as is basis without warranty of any kind. 1093857419 is maintained by the National Plan & Provider Enumeration System. The contents of Dallas Family Counseling Center are for informational purposes only.