Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Mark Wagemaker, LPC5042

Individual provider Professional Counselor · NPI 1891826822

Mr. Mark Wagemaker, LPC5042 is a Professional Counselor in Carrollton, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

402B Adamson Sq Ste 11
Carrollton, GA 30117-3214
Phone: (404) 580-6684
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC5042 (GA)

Record details

NPI number1891826822
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC5042
Sole proprietorYes
NPI enumeratedMarch 9, 2007
Last updated in NPPESAugust 5, 2009

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