Individual
MS. MARILISSE IAKOVOU MARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, CST
Contact information
Practice address
2456 SUNSET DR NE, ATLANTA, GA 30345-1945
(706) 255-0180
Mailing address
2456 SUNSET DR NE, ATLANTA, GA 30345-1945
(706) 255-0180
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009836
GA
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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