Individual
MR. BRIAN MICHAEL ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
723 INDUSTRIAL PARK DR UNIT A, EVANS, GA 30809-4352
(706) 504-4782
(706) 955-1412
Mailing address
311 COUNTRY GLEN CT, GROVETOWN, GA 30813-3949
(770) 367-0851
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APC004405
GA
101YP2500X
Professional Counselor
Primary
LPC010027
GA
Other
Enumeration date
06/30/2014
Last updated
05/11/2022
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