Individual
MR. BRANDON THANH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2431 SAND LAKE RD, ORLANDO, FL 32809-7641
(407) 305-4029
Mailing address
14419 BLACK LAKE PRESERVE ST, WINTER GARDEN, FL 34787-5212
(317) 750-7090
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/11/2023
Last updated
05/01/2024
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