Individual
DR. CRYSTAL MARIE CONSONERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
285 VICTORY DR SE, MARIETTA, GA 30060-2303
(770) 847-0112
(678) 279-9943
Mailing address
2597 TWIN OAKS DR SW, MARIETTA, GA 30064-2531
(770) 847-0112
(678) 279-9943
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/23/2009
Last updated
10/11/2013
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