Individual
JACQUELINE BREWER HOPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
215 E 13TH AVE, CORDELE, GA 31015-4249
(229) 276-0100
(229) 276-0300
Mailing address
215 E 13TH AVE, CORDELE, GA 31015-4249
(229) 276-0100
(229) 276-0300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC4517
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
614588062A
—
GA
Enumeration date
04/16/2007
Last updated
03/01/2017
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