Individual
MARISA I ROMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
2957 CLAIRMON RD NE, BROOKHAVEN, GA 30329-4447
(470) 747-3703
Mailing address
111 N MARIETTA PKWY NE APT C103, MARIETTA, GA 30060-1495
(770) 617-2730
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC009451
TX
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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