Individual
BRENDA L. FULP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, ED.S., LPC
Contact information
Practice address
6000 LAKE FORREST DR NW, SUITE 555, ATLANTA, GA 30328-3824
(404) 943-9403
(404) 943-9402
Mailing address
6000 LAKE FORREST DR NW, SUITE 555, ATLANTA, GA 30328-3824
(404) 943-9403
(404) 943-9402
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4148
GA
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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