Individual
BRENDA HARRIS GOOLSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MFT
Contact information
Practice address
6601 ZEBULON RD, MACON, GA 31220-7606
(478) 477-3383
(478) 475-9492
Mailing address
291 PLANTATION CENTRE DR N, 2204, MACON, GA 31210-9201
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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