Individual
MARYANNE ADEWAKUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 LANIER AVE W STE 909, FAYETTEVILLE, GA 30214-7641
(404) 790-6527
(770) 796-7033
Mailing address
4027 CHARIOT CIRCLE SE, SMYRNA, GA 30080
(404) 790-6527
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
008942
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
814988795
CMO
GA
Enumeration date
05/16/2016
Last updated
02/05/2026
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