Individual
DR. MARK F. GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D., LPC
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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