Individual
BRANDON CHRISTOPHER SCARBORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, CMAC
Contact information
Practice address
2117 SYLVAN LAKE DR, GROVETOWN, GA 30813-5851
(706) 466-9474
Mailing address
2117 SYLVAN LAKE DR, GROVETOWN, GA 30813-5851
(706) 466-9474
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0211
GA
1041C0700X
Clinical Social Worker
Primary
CSW008274
GA
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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