Individual
MARLEY FIVEASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
232 JORDAN DR, WOODSTOCK, GA 30188-6526
(404) 314-4879
Mailing address
232 JORDAN DR, WOODSTOCK, GA 30188-6526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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