Provider Demographics
NPI:1457642712
Name:ASKEW, MAJONICA L (LPC)
Entity Type:Individual
Prefix:
First Name:MAJONICA
Middle Name:L
Last Name:ASKEW
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 HAMILTON MILL RD
Mailing Address - Street 2:SUITE 102-193
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519-4080
Mailing Address - Country:US
Mailing Address - Phone:678-549-1184
Mailing Address - Fax:
Practice Address - Street 1:3300 HAMILTON MILL RD
Practice Address - Street 2:SUITE 102-193
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-4080
Practice Address - Country:US
Practice Address - Phone:678-549-1184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-21
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC006091101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health