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Individual

BRANDON SCOTT WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A

Contact information

Practice address
1312 W EAGLES NEST DR, MOSS BLUFF, LA 70611-4353
(719) 320-5693
Mailing address
1312 W EAGLES NEST DR, LAKE CHARLES, LA 70611-4353
(719) 320-5693

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5718
LA
101YM0800X
Mental Health Counselor

Other

Enumeration date
08/19/2010
Last updated
08/26/2020
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