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Individual

BRANDON GREENSTREET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
724 27TH AVE STE 2, FAIRBANKS, AK 99701-7042
(907) 374-2905
(907) 374-2915
Mailing address
724 27TH AVE STE 2, FAIRBANKS, AK 99701-7042
(907) 374-2905
(907) 374-2915

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
08/21/2015
Last updated
09/24/2020
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