Individual
BRIANNA LEWALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
331 MEADOW LARK WAY, MAYSVILLE, GA 30558-1946
(706) 908-4889
Mailing address
331 MEADOW LARK WAY, MAYSVILLE, GA 30558-1946
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC015490
GA
Other
Enumeration date
02/27/2025
Last updated
03/12/2025
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