Individual
BRANDON ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
144 STONY POINT RD, SANTA ROSA, CA 95401-4122
(707) 521-4550
Mailing address
144 STONY POINT RD, SANTA ROSA, CA 95401-4122
(707) 521-4550
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
121103
CA
Other
Enumeration date
06/09/2014
Last updated
07/16/2024
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