Individual
SHALA BRANDI HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3543 SR-81, UNIT 201, LOGANVILLE, GA 30052
(678) 737-4147
Mailing address
3543 SR-81, UNIT 201, LOGANVILLE, GA 30052
(678) 737-4147
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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