person
Ms. Mary Theresa Abraham, MSLPCNCCMACCPCS
Professional Counselor in Marietta, Georgia
NPI 1427124593

Mary Theresa Abraham is a Professional Counselor based in Marietta, GA and is specialized in Professional. Mary Theresa Abraham practices in Marietta, GA and has the professional credentials of MSLPCNCCMACCPCS. The NPI Number for Mary Theresa Abraham is 1427124593 and holds a License No. 003709 (Georgia).

The current practice location address for Mary Theresa Abraham is 707 Whitlock Ave Sw, Marietta, GA and can be reached out via phone at 770-591-7518 and via fax at 678-498-2843.

Location: 707 Whitlock Ave Sw, Marietta, GA, 30064-3000
person
Provider Profile Details
NPI Number
1427124593
Provider Name
Mary Theresa Abraham
Credential
MSLPCNCCMACCPCS
Provider Entity Type
Individual
Gender
Female
Address
707 Whitlock Ave Sw, Marietta, GA, 30064-3000
Phone Number
770-591-7518
Fax Number
678-498-2843
Provider Enumeration Date
11/28/2006
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10063297 01 GA AMERIGROUP
5732533 01 GA AETNA
129577652A 05 GA
726881000 01 GA MAGELLAN
582262349 01 GA HUMANA
10063295 01 GA AMERIGROUP
1427124593 01 GA BCBS
institution
Provider Business Practice Location Address Details
Address
707 Whitlock Ave Sw
City
State
Zip
30064-3000
Phone Number
770-591-7518
Fax Number
678-498-2843
person
Provider Business Mailing Address Details
Address
707 Whitlock Ave Sw
City
State
Zip
30064-3000
Phone Number
770-591-7518
Fax Number
678-498-2843
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
003709 (Georgia)
Definition
Definition to come...
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