Search › Georgia › 101YP2500X
Jennifer Mark, LPC
NPI 1548336639 · on the registry since 2006 · sole proprietor
Practice
- Address
- 200 Medical Ln
Canton, GA 30114 - Phone
- (770) 403-1906
- Fax
- (770) 720-3492
- Organisation at this address
- Canton Family Care
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-06-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia