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General NPI Number Information
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NPI Number | 1780256065
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Entity Type | Individual
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Provider Name | BRITTANY LESHON O'BRYANT M.S.
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Gender | Female
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Dates
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Enumeration Date | 07/15/2021
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Last Update Date | 05/16/2022
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Provider Practice Location Address
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Address Line | 2910 CANTON HIGHWAY UNIT F
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City | BALL GROUND
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State | GA
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Zip | 30107-9069
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Country | US
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Telephone | 970-264-8774
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Fax | 470-655-6900
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Provider Business Mailing Address
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Address Line | 412SUMMIT VILLAGE COURT
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City | MARIETTA
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State | GA
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Zip | 30066-5960
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Country | US
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Telephone | 470-264-8774
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Fax | 470-655-6900
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC011196
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC011196
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License Number State | GA
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