Individual
DR. ERVIN N/A BRIONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1552 LONG ACRE DR, MACON, GA 31204-4924
(678) 755-1221
Mailing address
1552 LONG ACRE DR, MACON, GA 31204-4924
(678) 755-1221
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC007205
GA
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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