Individual
MS. BRENDA STUBBS KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2020 AVALON PKWY, SUITE 185, MCDONOUGH, GA 30253-3054
(678) 833-1820
(678) 833-1821
Mailing address
2020 AVALON PKWY, SUITE 185, MCDONOUGH, GA 30253-3054
(678) 833-1820
(678) 833-1821
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005206
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120049585A
—
GA
Enumeration date
04/24/2008
Last updated
10/05/2009
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