Individual
MARY S PEDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, CPCS
Contact information
Practice address
1820 INDEPENDENCE SQ STE A, DUNWOODY, GA 30338-5164
(706) 207-9699
Mailing address
620 HUNTERS BRANCH LN, ATLANTA, GA 30328-1725
(706) 207-9699
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC006603
GA
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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