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Individual
CECILIA B BRANDENBURG
Active
Individual
CECILIA B BRANDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II/QMHA-I
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22-05-20159
OR
101YM0800X
Mental Health Counselor
24-QMHA-I-004403
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500778251
—
OR
Enumeration date
04/22/2020
Last updated
06/28/2024
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