Organization
MIND & BODY CHRISTIAN THERAPIST GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON GAMBLE BROWNE M.A., L.P.C. (COUNSELOR/PRESIDENT)
(678) 596-5385
Entity
Organization
Contact information
Practice address
3007 CHEROKEE ST NW, KENNESAW, GA 30144-2827
(678) 596-5385
Mailing address
356 TOCCOA PL, JONESBORO, GA 30236-5493
(678) 596-5385
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC008296
GA
225700000X
Massage Therapist
MT009630
GA
Other
Enumeration date
03/17/2015
Last updated
03/20/2015
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