Provider Demographics
NPI:1437820941
Name:CAMERON, BRANDI (LPC)
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:CAMERON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 BROOKS RD
Mailing Address - Street 2:
Mailing Address - City:HOGANSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30230-1008
Mailing Address - Country:US
Mailing Address - Phone:706-333-5395
Mailing Address - Fax:
Practice Address - Street 1:223 BROOKS RD
Practice Address - Street 2:
Practice Address - City:HOGANSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30230-1008
Practice Address - Country:US
Practice Address - Phone:706-333-5395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-23
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC011012101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health