Individual
BRENDA JAMES BRANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
500 LANIER AVE W, MAGNOLIA OFFICE PARK, SUITE 606A OFFICE # 7, FAYETTEVILLE, GA 30214-7636
(770) 719-5467
(770) 719-5468
Mailing address
134 N ALEXANDER CREEK RD, NEWNAN, GA 30263-3577
(770) 719-5467
(770) 719-5468
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007426
GA
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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