Individual
BRANDON MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 LILLY RD NE STE C, OLYMPIA, WA 98506-5080
(360) 218-1771
Mailing address
3200 CAPITAL MALL DR SW APT S104, OLYMPIA, WA 98502-8688
(360) 763-3128
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
WA
Other
Enumeration date
12/31/2018
Last updated
08/26/2019
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