PSYCHOLOGICAL CONSULTANTS OF MARIETTA, PC
Marriage and Family Therapists at Kennesaw Ave, Marietta, GA

License number
Georgia 1872
Category
Social Work
Type
Clinical
License number
Georgia 897
Category
Marriage and Family Therapists
Type
Marriage & Family Therapist
Owner
Name: DR. MARK MANFRED ROLAND PH.D.
Title: PRESIDENT
Phone: (770) 420-9448
Address
Address
600 Kennesaw Ave NW SUITE 300, Marietta, GA 30060
National Provider ID: 1093802233
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PSYCHOLOGICAL CONSULTANTS OF MARIETTA, PC

600 Kennesaw Ave STE 300, Marietta, GA 30060

Status:
Inactive
Registration:
Mar 10, 2004
Inactive since:
Sep 6, 2010
State ID:
0416168
Business type:
Domestic Professional Corporation
CEOs:
Davis Ann Roland (Secretary), 600 Kennesaw Ave #13, Marietta, GA 30060 (Physical),M Mark Roland (CEO), 600 Kennesaw Ave #13, Marietta, GA 30060 (Physical)
Agent:
Mark M Roland Phd,600 Kennesaw Ave STE 300, Marietta, GA 30060 (Physical)

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