Individual
TABRICEIA BRENAE NEALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
519 BLACKBURN DR, MARTINEZ, GA 30907-8202
(706) 910-2335
Mailing address
2710 LAKEWOOD DR, AUGUSTA, GA 30904-5298
(706) 910-2335
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
009350
GA
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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