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NPI Code Detail

MEDICARE: THOMAS ANDREW MARNELL LPC

MEDICARE: THOMAS ANDREW MARNELL LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC003326GA

General Provider Information

NPI Number : 1710128178
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS ANDREW MARNELL LPC
Provider Business Mailing Address
First Line : 244 E LAKE DR SE
Second Line :
City : ATLANTA
State : GA
Zip : 30317-3352
Country : US
Telephone Number : 404-785-1813
Fax Number :
Provider Business Practice Location Address
First Line : 25 LENOX POINTE NE STE A
Second Line :
City : ATLANTA
State : GA
Zip : 30324-7420
Country : US
Telephone Number : 404-321-3550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2009
Last Update Date : 03/16/2009

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Directions to “ THOMAS ANDREW MARNELL LPC” Practice Location

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