Individual
JASON MICHAEL MAGISTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3188 ATLANTA RD SE, SMYRNA, GA 30080-8256
(770) 319-6000
(770) 319-6330
Mailing address
2427 POST VILLAGE DR SE, SMYRNA, GA 30080-2304
(770) 714-2542
(770) 319-6330
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC009359
GA
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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