Individual
ELIZA MRVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4812 TECHNOLOGY DR BLDG 1, MARTINEZ, GA 30907-3912
(540) 808-7454
Mailing address
4812 TECHNOLOGY DR BLDG 1, MARTINEZ, GA 30907-3912
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8594
SC
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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