Individual
MR. BRENT C HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
4010 SUMIT WOOD DR NW, KENNESAW, GA 30152-4155
(678) 951-6778
Mailing address
4010 SUMIT WOOD DR NW, KENNESAW, GA 30152-4155
(678) 951-6778
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008775
GA
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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