MEDICARE: MR. BRIAN M. GERMANN LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	LPC004855	GA
2	101YM0800X	Mental Health Counselor	LPC004855	GA

General Provider Information

NPI Number	:	1396862744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRIAN M. GERMANN LPC

Provider Business Mailing Address
First Line	:	2371 FRANKLIN ST
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30906-3031
Country	:	US
Telephone Number	:	706-796-5253
Fax Number	:

Provider Business Practice Location Address
First Line	:	2826 HILLCREEK DR
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30909-5628
Country	:	US
Telephone Number	:	706-796-5253
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	03/13/2017

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