Provider Demographics
NPI:1265521132
Name:PECUNIA, MARY PATE (MS, EDS, LPC)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:PATE
Last Name:PECUNIA
Suffix:
Gender:F
Credentials:MS, EDS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3336 QUICK WATER LNDG NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-2389
Mailing Address - Country:US
Mailing Address - Phone:770-917-1597
Mailing Address - Fax:
Practice Address - Street 1:1640 POWERS FERRY ROAD S BUILDING 9, SUITE 100
Practice Address - Street 2:THE ANXIETY AND STRESS MANAGEMENT INSTITUTE
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-5491
Practice Address - Country:US
Practice Address - Phone:770-953-0080
Practice Address - Fax:770-953-0031
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GALPC004590101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional