Individual
ALISHA SANTA MASCIOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LAPC
Contact information
Practice address
738 WOODLAWN DR NE, MARIETTA, GA 30068-4253
(770) 726-9589
Mailing address
226 WINDY RIDGE LN SE, ATLANTA, GA 30339-2429
(678) 800-9986
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC008421
GA
101YM0800X
Mental Health Counselor
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Other
Enumeration date
12/20/2021
Last updated
05/16/2022
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