Organization
MARIETTA PASTORAL COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT BENJAMIN MORAVITZ TH.D., LPC, NCC (EXECUTIVE DIRECTOR)
(678) 524-4158
Entity
Organization
Contact information
Practice address
316 ALEXANDER ST SE STE 2, MARIETTA, GA 30060-2001
(678) 524-4158
Mailing address
316 ALEXANDER ST SE STE 2, MARIETTA, GA 30060-2001
(678) 524-4158
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC003627
GA
Other
Enumeration date
04/12/2006
Last updated
06/21/2010
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