Individual
BRENLEY MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
4411 SUWANEE DAM RD STE 310, SUWANEE, GA 30024-8702
(404) 585-0462
Mailing address
1659 MONROE DR NE APT A7, ATLANTA, GA 30324-5060
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
AMFT000685
GA
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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