Individual
MARISA LISETTE CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APC
Contact information
Practice address
3520 PIEDMONT RD NE STE 330, ATLANTA, GA 30305-1552
(404) 351-2008
Mailing address
3520 PIEDMONT RD NE STE 330, ATLANTA, GA 30305-1552
(404) 351-2008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC008514
GA
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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