Organization
MMKG COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLO KEENAN LPC (LICENSE PROFESSIONAL COUNSELOR)
(770) 712-5020
Entity
Organization
Contact information
Practice address
1275 SHILOH RD NW STE 3030, KENNESAW, GA 30144-7186
(770) 712-5020
Mailing address
1950 BARRETT LAKES BLVD NW APT 1226, KENNESAW, GA 30144-7535
(770) 712-5020
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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