Individual
BRENDA KAYLENE TWILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
230 W COLLEGE ST STE D, GRIFFIN, GA 30224-4249
(678) 688-3133
Mailing address
11 BROWN AVE, LOCUST GROVE, GA 30248-3000
(678) 315-6811
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC012157
GA
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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