Individual
BRENDA PUEBLA NAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046
(678) 209-2394
(678) 212-6343
Mailing address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009580
GA
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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