Individual
BRIELLE NICOLE CLARKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
493 PEEPLES FARM RD, SYLVANIA, GA 30467-0901
(912) 728-4836
Mailing address
493 PEEPLES FARM RD, SYLVANIA, GA 30467-0901
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009906
GA
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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