person
Mr. Mark Wagemaker, LPC5042
Professional Counselor in Carrollton, Georgia
NPI 1891826822

Mark Wagemaker is a Professional Counselor based in Carrollton, GA and is specialized in Professional. Mark Wagemaker practices in Carrollton, GA and has the professional credentials of LPC5042. The NPI Number for Mark Wagemaker is 1891826822 and holds a License No. LPC5042 (Georgia).

The current practice location address for Mark Wagemaker is 402B Adamson Sq, Carrollton, GA and can be reached out via phone at 404-580-6684.

Location: 402B Adamson Sq, Carrollton, GA, 30112-0022
person
Provider Profile Details
NPI Number
1891826822
Provider Name
Mark Wagemaker
Credential
LPC5042
Provider Entity Type
Individual
Gender
Male
Address
402B Adamson Sq, Carrollton, GA, 30112-0022
Phone Number
404-580-6684
Fax Number
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
402B Adamson Sq
City
State
Zip
30117-3214
Phone Number
404-580-6684
Fax Number
person
Provider Business Mailing Address Details
Address
402B Adamson Sq
City
State
Zip
30117-3214
Phone Number
404-580-6684
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC5042 (Georgia)
Definition
Definition to come...
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