Mr. Mark Wagemaker, LPC5042
Mr. Mark Wagemaker, LPC5042 is a Professional Counselor in Carrollton, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2007
Practice location Address checks out
402B Adamson Sq Ste 11Carrollton, GA 30117-3214
Phone: (404) 580-6684
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence LPC5042 (GA) |
|---|
Record details
| NPI number | 1891826822 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LPC5042 |
| Sole proprietor | Yes |
| NPI enumerated | March 9, 2007 |
| Last updated in NPPES | August 5, 2009 |
| Mailing address | Po Box 1196, Carrollton, GA 30112-0022 |
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