Individual
MARY ELIZABETH MANASRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2150 PEACHFORD RD STE H, ATLANTA, GA 30338-6539
(770) 454-1252
Mailing address
64 GOLDRUSH CIR, ATLANTA, GA 30328-5244
(678) 510-9027
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
APC005026
GA
101YP2500X
Professional Counselor
Primary
LPC014908
GA
Other
Enumeration date
03/20/2022
Last updated
07/25/2024
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