Organization
GRACEPOINT COUNSELING ASSOCIATES
Active
Other names
GracePoint Counseling Associates, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J. BRISSETT PH.D. (MEMBER)
(770) 638-1577
Entity
Organization
Contact information
Practice address
620 HILLCREST RD NW, SUITE 300, LILBURN, GA 30047-6892
(770) 638-1577
Mailing address
620 HILLCREST RD NW, SUITE 300, LILBURN, GA 30047-6892
(770) 638-1577
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
558 AND 1823
GA
Other
Enumeration date
01/12/2007
Last updated
11/29/2011
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