Individual provider · Type 1 NPI

Mary Agnes Dallas

Mental Health Counselor · Atlanta, GA

NPI number 1043674443 Active

Practice location

2302 Parklake Dr NE, Suite 350
Atlanta, GA 30345-2896

Fax (770) 621-0466

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1043674443

Mary Agnes Dallas's National Provider Identifier is 1043674443, issued on Apr 12, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Atlanta, GA. The record was last updated on Apr 12, 2016.