Individual provider · Type 1 NPI

Brandon Supak

Mental Health Counselor · Duluth, GA

NPI number 1598542102 Active

Practice location

2760 Peachtree Industrial Blvd Ste C
Duluth, GA 30097-2201

Call (470) 502-5637 Map

Mailing address

2753 Holly Ridge Cir
Marietta, GA 30062-4632

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1598542102

Brandon Supak's National Provider Identifier is 1598542102, issued on Sep 8, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Duluth, GA. The record was last updated on Sep 8, 2023.