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Individual

BRANDI GLENN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2751 BUFORD HWY NE STE 700, ATLANTA, GA 30324-5510
(770) 525-2987
Mailing address
2064 MALLARD CV, LITHONIA, GA 30058-8340

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC007407
GA
101YM0800X
Mental Health Counselor
Primary
LPC015331
GA

Other

Enumeration date
09/14/2023
Last updated
04/28/2026
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