Individual
BRANDON DELLARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5805 OAKLAND DR, PORTAGE, MI 49024-1118
(269) 323-1954
Mailing address
601 FOREST ST, KALAMAZOO, MI 49008-1309
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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