Brandon Supak
Brandon Supak is a Mental Health Counselor in Duluth, Georgia. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
2760 Peachtree Industrial Blvd Ste CDuluth, GA 30097-2201
Phone: (470) 502-5637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1598542102 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 8, 2023 |
| Last updated in NPPES | September 8, 2023 |
| Certification date | September 8, 2023 |
| Mailing address | 2753 Holly Ridge Cir, Marietta, GA 30062-4632 |
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