Individual
MARK CHRISTOPHER MAZZONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
1763 FERNSIDE DR, TOCCOA, GA 30577-8095
(706) 282-4542
Mailing address
1763 FERNSIDE DR, TOCCOA, GA 30577-8095
(706) 282-4542
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC006728
GA
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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