person
Mr. Colvin Jeffrey Brogdon, LPC,NCC
Professional Counselor in Columbus, Georgia
NPI 1396843579

Colvin Jeffrey Brogdon is a Professional Counselor based in Upatoi, GA and is specialized in Professional. Colvin Jeffrey Brogdon practices in Columbus, GA and has the professional credentials of LPC,NCC. The NPI Number for Colvin Jeffrey Brogdon is 1396843579 and holds a License No. LPC002957 (Georgia).

The current practice location address for Colvin Jeffrey Brogdon is 113 Bascom Ct Ste C, Columbus, GA and can be reached out via phone at 706-569-7254 and via fax at 706-569-9212.

Location: 113 Bascom Ct Ste C, Columbus, GA, 31829-1802
person
Provider Profile Details
NPI Number
1396843579
Provider Name
Colvin Jeffrey Brogdon
Credential
LPC,NCC
Provider Entity Type
Individual
Gender
Male
Address
113 Bascom Ct Ste C, Columbus, GA, 31829-1802
Phone Number
706-569-7254
Fax Number
706-569-9212
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
576838803A 05 GA
institution
Provider Business Practice Location Address Details
Address
113 Bascom Ct Ste C
City
State
Zip
31909-2798
Phone Number
706-569-7254
Fax Number
706-569-9212
person
Provider Business Mailing Address Details
Address
113 Bascom Ct Ste C
City
State
Zip
31909-2798
Phone Number
706-569-7254
Fax Number
706-569-9212
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC002957 (Georgia)
Definition
Definition to come...
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