Individual
BRANDY WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
1755 N BROWN RD STE 120, LAWRENCEVILLE, GA 30043-8198
(678) 365-3695
Mailing address
1755 N BROWN RD STE 120, LAWRENCEVILLE, GA 30043-8198
(678) 365-3695
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC010593
GA
Other
Enumeration date
07/02/2016
Last updated
07/26/2020
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