Provider Demographics
NPI:1710369418
Name:MARCONE, JOANNE (LPC)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:MARCONE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JOANNE
Other - Middle Name:
Other - Last Name:DORA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:707 WHITLOCK AVE SW STE C28
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-4655
Mailing Address - Country:US
Mailing Address - Phone:678-772-5784
Mailing Address - Fax:
Practice Address - Street 1:707 WHITLOCK AVE SW STE C28
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-4655
Practice Address - Country:US
Practice Address - Phone:678-772-5784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-18
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC 008186101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional