Individual
ELEANOR LOUISE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
864 CLARK DR, ELLENWOOD, GA 30294-2654
(678) 772-5834
Mailing address
864 CLARK DR, ELLENWOOD, GA 30294-2654
(678) 772-5834
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003061
GA
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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