Individual
DR. MARK F. GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D., LPC
Contact information
Practice address
10 S BROOKS ST, STE. 4, CLEVELAND, GA 30528-1151
(800) 287-4802
(706) 348-1353
Mailing address
45 FOX HUNTER LN, CLEVELAND, GA 30528-2372
(800) 287-4802
(706) 348-1353
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC001942
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003161579A
—
GA
01
—
12496823
CAQH
—
Enumeration date
02/05/2013
Last updated
09/28/2015
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