NPI 1033245873 · live from the CMS NPI Registry
Jerry Brinegar, LMFT
Marriage & Family Therapist in Athens, GA. National Provider Identifier 1033245873, active.
NPI record
| NPI | 1033245873 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 840 Hawthorne Ave # B, Athens, GA 30606 |
| Practice phone | 706-549-7755 |
| Mailing address | 1435 Oglethorpe Ave, Athens, GA 30606 |
| Enumerated | February 26, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 000161 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.