Individual
MS. BRYNA LEIGH DUNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
120 E TRINITY PL, DECATUR, GA 30030-3302
(404) 450-2567
Mailing address
120 GENTRYS WALK, ATLANTA, GA 30341-1204
(912) 245-2313
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC005220
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APC005220
GEORGIA COMPOSITE BOARD OF PC, SW, AND MFT
GA
Enumeration date
12/05/2018
Last updated
12/05/2018
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