Marlo Demetra Mathis, D.MIN, MA, LPC Valid NPI
Individual provider · Mental Health Counselor · Morrow, GA
- NPI
- 1639621931
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- 055836474 (GA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2016-11-03
- Last updated
- 2016-11-03
Practice location
1396 Southlake Plaza Dr
Morrow, GA 30260-1756
(770) 473-2640