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Individual
CHRISTINA MARIE MARRA
Active
Individual
CHRISTINA MARIE MARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC012562
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316537277
—
GA
05
—
1528612876
—
GA
05
—
1578881538
—
GA
05
—
1730605288
—
GA
05
—
1750932497
—
GA
Enumeration date
11/21/2021
Last updated
06/11/2024
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