Individual
BRENDAN A STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., LPC
Contact information
Practice address
455 N LUMPKIN ST, ATHENS, GA 30601-2744
(706) 540-3566
Mailing address
436 MILLEDGE CIR, ATHENS, GA 30606-4336
(706) 540-3566
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008511
GA
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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