Individual
DR. BRANDY KAYE NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4989 N MAIN ST STE 106, ACWORTH, GA 30101-5278
(470) 745-2775
(470) 745-2777
Mailing address
4989 N MAIN ST STE 106, ACWORTH, GA 30101-5278
(470) 745-2775
(470) 745-2777
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC010754
GA
101YS0200X
School Counselor
APC005357
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104230184
—
GA
Enumeration date
06/17/2014
Last updated
04/11/2022
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