Individual
DR. BRANDON TERRANCE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, MBA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
09/16/2019
Last updated
03/10/2025
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