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Individual
JONATHON BRANDT
Active
Individual
JONATHON BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG70052783
WA
175T00000X
Peer Specialist
—
WA
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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