Individual
EILEEN MARIE PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1640 POWERS FERRY RD SE BLDG 5-110, MARIETTA, GA 30067-9474
(888) 551-5168
Mailing address
640 POWERS FERRY RD SE STE 5-110, MARIETTA, GA 30067-7358
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC011829
GA
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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