Albert Bristol III, LPC
Counselor, Professional in Fairburn, GA. Individual provider (NPI-1).
NPI number1992545552
StatusActive
Last updated in NPPESMar 31, 2026
Details
- NPI
- 1992545552
- Entity type
- Individual (NPI-1)
- Name
- Albert Bristol III
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 30, 2024
- Certification date
- Mar 31, 2026
- Last updated
- Mar 31, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 37PC01232700 | NJ | Yes |
Practice location
110 Glen Abbey CirFairburn, GA 30213-2831
Phone 732-616-0573
Mailing address
110 Glen Abbey CirFairburn, GA 30213-2831
Phone 732-616-0573
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