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MARY KATHLEEN ALLEN LPC

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1518024504

Individual Registrant:
 MARY KATHLEEN ALLEN LPC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5405 MEMORIAL DR STE D  STONE MOUNTAIN, GA 30083-3236 US
Tel: 404-296-3800  Fax: 404-297-8753

Contact information for business:
5405 MEMORIAL DR STE D  STONE MOUNTAIN, GA 30083-3236 US
Tel: 404-296-3800  Fax: 404-297-8753

Registration Information:
NPI: 1518024504
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
GALPC001196

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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