Individual
BRANDON TWEEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ICADC
Contact information
Practice address
400 W PEACHTREE ST NW, ATLANTA, GA 30308-3536
(757) 746-3812
Mailing address
400 W PEACHTREE ST NW UNIT 1116, ATLANTA, GA 30308-3547
(757) 746-3812
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1280
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
173834
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
E088
GA
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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