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Individual

BRANDON PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7855 HOWELL BLVD, BATON ROUGE, LA 70807-5256
(225) 465-8104
Mailing address
13675 COURSEY BLVD APT 1122, BATON ROUGE, LA 70817-1357
(318) 589-1839

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9427
LA
101YP2500X
Professional Counselor
Primary
9427
LA
171M00000X
Case Manager/Care Coordinator
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
171M00000X.
LA
Enumeration date
06/28/2018
Last updated
03/21/2025
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