Individual
MARLENE JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6315 LAMP POST PL, COLLEGE PARK, GA 30349-8829
(404) 908-5091
Mailing address
6315 LAMP POST PL, COLLEGE PARK, GA 30349-8829
(404) 908-5091
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC008053
GA
101YP2500X
Professional Counselor
LPC008053
GA
Other
Enumeration date
08/13/2016
Last updated
08/13/2016
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