Individual
SVETLANA BANEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS MFT
Contact information
Practice address
70 WHITLOCK PL SW STE 300, MARIETTA, GA 30064-3155
(770) 316-0813
Mailing address
70 WHITLOCK PL SW STE 300, MARIETTA, GA 30064-3155
(770) 316-0813
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001491
GA
Other
Enumeration date
05/05/2016
Last updated
02/23/2019
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