Individual
MADONNA BETH MEZZANOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4343 SHALLOWFORD RD, MARIETTA, GA 30062-5023
(678) 740-3757
Mailing address
4343 SHALLOWFORD RD STE H4B, MARIETTA, GA 30062-5008
(678) 740-3757
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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