Individual
BRENDA ERNEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
002029
GA
101YM0800X
Mental Health Counselor
Primary
002029 LMSW
GA
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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