Individual
JOY LYNN BRENTNALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4660 POLO LN SE, ATLANTA, GA 30339-5346
(404) 312-6651
Mailing address
4660 POLO LN SE, ATLANTA, GA 30339-5346
(404) 312-6651
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC003041
GA
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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