Organization
BALANCED LIFE FAMILY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN WAGENBRENNER LPC (OWNER)
(404) 984-5004
Entity
Organization
Contact information
Practice address
11795 NORTHFALL LN STE 601, ALPHARETTA, GA 30009-7968
(404) 984-5004
Mailing address
1325 TAYLOR OAKS DR, ROSWELL, GA 30076-1168
(404) 984-5004
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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