Individual
BRANDON COUSSENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3540 WHEELER RD STE 109, AUGUSTA, GA 30909-1872
(706) 955-0230
(706) 955-2278
Mailing address
3540 WHEELER RD STE 109, AUGUSTA, GA 30909-1872
(706) 955-0230
(706) 955-2278
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001247
GA
Other
Enumeration date
07/21/2012
Last updated
05/25/2021
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