Individual
CAITLYN LORAY BROYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 ROSWELL RD, MARIETTA, GA 30062-3811
(678) 784-4293
Mailing address
245 BROOKHAVEN CT, ACWORTH, GA 30102-2190
(912) 223-7520
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC007820
GA
101YM0800X
Mental Health Counselor
APC007820
GA
101YP2500X
Professional Counselor
APC007820
GA
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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