Individual
LARRY J BRANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1575 W UNIVERSITY DR STE 111, TEMPE, AZ 85281-3283
(480) 687-9009
Mailing address
1575 W UNIVERSITY DR STE 111, TEMPE, AZ 85281-3283
(480) 687-9009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CSLG12168
AZ
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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