Individual
ANTWAN BROWNLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5049 MEADOW TRCE, FAIRBURN, GA 30213-4282
(770) 309-6226
Mailing address
5049 MEADOW TRCE, FAIRBURN, GA 30213-4282
(770) 309-6226
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
007283
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
462253551
TAX ID
GA
Enumeration date
06/05/2013
Last updated
06/05/2013
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