Individual
JILLIAN C BRENTZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2165 WENLOK TRL NE, MARIETTA, GA 30066-4524
(801) 413-3709
Mailing address
2165 WENLOK TRL NE, MARIETTA, GA 30066-4524
(801) 413-3709
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CSW007296
GA
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
05/02/2025
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