Individual
MR. MARCUS ANTHONY PREVETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NCC, CST, CPCS
Contact information
Practice address
121 SENORA PL, MACON, GA 31210-1582
(478) 370-8476
(888) 798-7392
Mailing address
121 SENORA PL, MACON, GA 31210-1582
(478) 370-8476
(888) 798-7392
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC009044
GA
101YM0800X
Mental Health Counselor
LPC009044
GA
101YP2500X
Professional Counselor
APC003956
GA
101YP2500X
Professional Counselor
Primary
LPC009044
GA
Other
Enumeration date
08/24/2013
Last updated
10/28/2025
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