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Individual

DR. BRANDON GILLESPIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DSW, M.ED.

Contact information

Practice address
5887 GLENRIDGE DR STE 230, ATLANTA, GA 30328-9929
(404) 390-4098
Mailing address
227 SANDY SPRINGS PL STE D270, ATLANTA, GA 30328-5918
(404) 390-4098
(877) 427-2724

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LGPC200001490
DC
101YP2500X
Professional Counselor
Primary
LPC014893
GA

Other

Enumeration date
08/25/2023
Last updated
10/28/2024
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