Individual provider · Type 1 NPI

Juan La Farrell Edgar

Marriage & Family Therapist · Marietta, GA

NPI number 1376473264 Active

Practice location

707 Whitlock Ave SW Ste G6
Marietta, GA 30064-4653

Mailing address

4180 Mount Paran Dr
Social Circle, GA 30025-3710

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XNone listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1376473264

Juan La Farrell Edgar's National Provider Identifier is 1376473264, issued on May 21, 2026. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Marietta, GA. The record was last updated on May 21, 2026.