| Brandon A Coussens Lmft Llc | |
|
654 Main St Ste 6 Thomson GA 30824-7403 | |
| (706) 595-2548 | |
| Not Available |
| Full Name | Brandon A Coussens Lmft Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 654 Main St, Thomson, Georgia |
| Authorized Official Name and Position | Brandon A Coussens (CEO) |
| Authorized Official Contact | 4783354743 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon A Coussens Lmft Llc Po Box 22 Lincolnton GA 30817-0022 Ph: () - | Brandon A Coussens Lmft Llc 654 Main St Ste 6 Thomson GA 30824-7403 Ph: (706) 595-2548 |
| NPI Number | 1871834341 |
|---|---|
| Provider Enumeration Date | 03/08/2013 |
| Last Update Date | 03/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871834341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MFT001247 (Georgia) | Primary |
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