Individual
MR. MARCELL DARRELL GARDNER SPATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1431 RIVERSIDE PKWY STE A, LAWRENCEVILLE, GA 30043-5996
(678) 765-9291
Mailing address
3753 OKEFENOKEE RDG, LOGANVILLE, GA 30052-3382
(404) 514-5802
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC014636
GA
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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