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Individual

DR. CHRISTOPHER M BRUTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, LPC

Contact information

Practice address
200 LEAKE ST STE 106, CARTERSVILLE, GA 30120-3562
(678) 986-0453
Mailing address
200 LEAKE ST STE 106, CARTERSVILLE, GA 30120-3562
(678) 986-0453

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
008174
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003212881A
GA
Enumeration date
12/19/2014
Last updated
03/12/2019
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