Individual provider · Type 1 NPI

Amy Kemp Brockman

Mental Health Counselor · Canton, GA

NPI number 1710462874 Active

Practice location

310 Paper Trail Way Ste 106
Canton, GA 30115-5204

Fax (770) 628-0046

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC010385 (GA)

Mental Health Counselor: Definition to come...

10 other providers at this address

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About NPI 1710462874

Amy Kemp Brockman's National Provider Identifier is 1710462874, issued on Sep 25, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Canton, GA. The record was last updated on Sep 25, 2018.