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Individual

MR. BRANDON ANDRE JEVON JAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCMHC,LCAS-A, CRC

Contact information

Practice address
1922 S MARTIN LUTHER KING JR DR STE 225, WINSTON SALEM, NC 27107-1361
(336) 464-3136
(336) 734-6917
Mailing address
4626 WEST MARKET STREET SUITE C PO BOX 229, GREENSBORO, NC 27407
(336) 814-6524
(336) 355-9619

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
23683
NC
101YM0800X
Mental Health Counselor
Primary
13179
NC
225C00000X
Rehabilitation Counselor
00188145
NC

Other

Enumeration date
11/20/2017
Last updated
03/17/2021
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