Individual
DR. MARY JAMES DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.MIN, M.A., LMFT, C
Contact information
Practice address
140 HAMPTON WAY, CARROLLTON, GA 30116
(678) 438-7058
(678) 664-2173
Mailing address
140 HAMPTON WAY, CARROLLTON, GA 30116
(678) 438-7058
(678) 664-2173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CERTIFICATION #1767R
GA
106H00000X
Marriage & Family Therapist
MFT000985
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246920824A
—
GA
Enumeration date
02/21/2007
Last updated
01/15/2021
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