Individual
BRANDON CLINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7425 JANES AVE STE 205, WOODRIDGE, IL 60517-2323
(217) 850-1133
(617) 807-0958
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483
(617) 807-0958
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180016035
IL
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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