Individual provider · NPI-1

Eleanor Louise Brown, LPC

Counselor, Professional · Ellenwood, GA

NPI number1275280802
StatusActive
Last updated in NPPESMar 3, 2022

Details

NPI
1275280802
Entity type
Individual (NPI-1)
Name
Eleanor Louise Brown
Credential
LPC
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 3, 2022
Certification date
Mar 3, 2022
Last updated
Mar 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional003061GAYes

Practice location

864 Clark Dr
Ellenwood, GA 30294-2654

Phone 678-772-5834

Mailing address

864 Clark Dr
Ellenwood, GA 30294-2654

Phone 678-772-5834

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