Individual
JOHN M BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
200 HERITAGE WAY, KALISPELL, MT 59901-3146
(406) 756-3950
(406) 756-3957
Mailing address
200 HERITAGE WAY, KALISPELL, MT 59901-3146
(406) 756-3950
(406) 756-3957
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
404 LCPC
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256113
—
MT
01
—
741160
BLUE CROSS
MT
Enumeration date
05/31/2006
Last updated
11/27/2023
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