Individual
MONICA MEGAN PRESTIGIACOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC GA 3057
Contact information
Practice address
12285 BROADWELL RD, ALPHARETTA, GA 30004-4016
(678) 366-9388
(678) 366-6156
Mailing address
12285 BROADWELL RD, ALPHARETTA, GA 30004-4016
(678) 366-9388
(678) 366-6156
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
003057
GA
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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