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Individual

KYLE BRANDYBERRY

Active
Find providers by NPI
Individual

KYLE BRANDYBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LIMHP, LADC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-1385
NE
101YM0800X
Mental Health Counselor
1243
NE
101YM0800X
Mental Health Counselor
Primary
1796
NE
101YM0800X
Mental Health Counselor
4849
NE
101YP2500X
Professional Counselor
2319
NE

Other

Enumeration date
12/28/2016
Last updated
01/16/2019
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