Individual
BRENTIA J CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S., LPC
Contact information
Practice address
3205 RIVER SHOALS CV, DECATUR, GA 30034-6778
(404) 797-9755
Mailing address
3205 RIVER SHOALS CV, DECATUR, GA 30034-6778
(404) 797-9755
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC009978
GA
Other
Enumeration date
09/29/2019
Last updated
09/29/2019
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