Individual
MRS. MARTALYN GRACE STEPHENS-BILLINGSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
7000 KIMBERLY LN, RIVERDALE, GA 30296-2000
(678) 643-3653
Mailing address
7000 KIMBERLY LN, RIVERDALE, GA 30296-2000
(678) 643-3653
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005528
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC005528
PROFESSIONAL COUNSELOR NUMBER
GA
Enumeration date
11/06/2009
Last updated
11/06/2009
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