Individual
BRENNAN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APC, MA, NCC
Contact information
Practice address
127 CHURCH ST NE STE 350, MARIETTA, GA 30060-8642
(779) 425-8275
Mailing address
127 CHURCH ST NE STE 350, MARIETTA, GA 30060-8642
(779) 425-8275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC007092
GA
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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