Individual
CECELIA MARIE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
265 BOULEVARD NE, ATLANTA, GA 30312-1208
(404) 730-1650
Mailing address
3725 GEORGE BUSBEE PKWY NW APT 1420, KENNESAW, GA 30144-6642
(470) 259-6575
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC004994
GA
101YP2500X
Professional Counselor
Primary
LPC004994
GA
Other
Enumeration date
01/29/2008
Last updated
02/25/2025
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