Individual
NILE BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
8950 VILLA LA JOLLA DR STE B204, LA JOLLA, CA 92037-1705
(619) 354-7400
Mailing address
3950 MAHAILA AVE APT P31, SAN DIEGO, CA 92122-6139
(619) 808-2778
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10555235-6009
UT
103TC1900X
Counseling Psychologist
Primary
PSY35762
CA
Other
Enumeration date
02/15/2018
Last updated
08/12/2025
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