Individual
ANGELA C. BREAZEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10475 MEDLOCK BRIDGE RD STE 205, JOHNS CREEK, GA 30097-4446
(678) 474-4899
Mailing address
10475 MEDLOCK BRIDGE RD STE 205, JOHNS CREEK, GA 30097-4446
(678) 474-4899
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003422
GA
Other
Enumeration date
08/24/2024
Last updated
08/24/2024
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