Individual
BRYAN JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3781 PRESIDENTIAL PKWY, SUITE 140, ATLANTA, GA 30340-3702
(404) 838-0788
Mailing address
4000 BRANTLEY DR, AUSTELL, GA 30106-1559
(404) 838-0788
(404) 973-0790
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC007307
GA
101YP1600X
Pastoral Counselor
LPC007307
GA
101YP2500X
Professional Counselor
LPC007307
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003142232A
—
GA
05
—
003143436A
—
GA
05
—
003144234A
—
GA
Enumeration date
05/19/2013
Last updated
03/15/2014
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