Individual
MRS. LASHONDA TAKETISA BRUMMITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CCADC
Contact information
Practice address
6600 VAN AALST BLVD BLDG 9250, FORT MOORE, GA 31905-2102
(762) 408-4069
Mailing address
6600 VAN AALST BLVD BLDG 9250, FORT MOORE, GA 31905-2102
(762) 408-4069
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
206072
GA
101YM0800X
Mental Health Counselor
LPC004954
GA
Other
Enumeration date
02/01/2011
Last updated
01/27/2025
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