Individual
ALBERT BRISTOL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
110 GLEN ABBEY CIR, FAIRBURN, GA 30213-2831
(732) 616-0573
Mailing address
110 GLEN ABBEY CIR, FAIRBURN, GA 30213-2831
(732) 616-0573
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00596400
NJ
101YP2500X
Professional Counselor
Primary
37PC01232700
NJ
Other
Enumeration date
05/30/2024
Last updated
03/31/2026
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