Individual
MRS. MARIANNE VANIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRC, LPC
Contact information
Practice address
750 HAMMOND DR, BUILDING 10 SUITE 100, ATLANTA, GA 30328-5532
(678) 999-3477
Mailing address
750 HAMMOND DR, BUILDING 10 SUITE 100, ATLANTA, GA 30328-5532
(678) 999-3477
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC008537
GA
Other
Enumeration date
10/23/2013
Last updated
08/25/2015
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