Individual
MS. BRANDY NICOLE LEA SEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
58967 BUSINESS CENTER DR., SUITES C/D, YUCCA VALLEY, CA 92284
(760) 369-3130
(760) 365-2695
Mailing address
17800 HIGHWAY 18, APPLE VALLEY, CA 92307
(760) 242-6333
(760) 946-0819
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
05/30/2025
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