Individual
MS. MARILYN WITBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, LPC
Contact information
Practice address
365 NORTHRIDGE RD, SUITE 310, ATLANTA, GA 30350-3207
(404) 713-8749
Mailing address
365 NORTHRIDGE RD, SUITE 310, ATLANTA, GA 30350-3207
(404) 713-8749
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007904
GA
106H00000X
Marriage & Family Therapist
MFT001334
GA
Other
Enumeration date
06/30/2011
Last updated
10/01/2014
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