Individual
BRANDON ARTHUR MOAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2474 E HUNT HWY # 100, SAN TAN VALLEY, AZ 85143-5210
(480) 784-1514
Mailing address
1365 E ASH RD, SAN TAN VALLEY, AZ 85140-3214
(480) 317-2213
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC16429
AZ
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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