Individual
BRANDON L KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10014 LONALLEN ST, HOUSTON, TX 77088-3118
(281) 330-6090
Mailing address
10014 LONALLEN ST, HOUSTON, TX 77088-3118
(281) 330-6090
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
73389
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16587341
TEXAS DRIVERS LICENSE
TX
Enumeration date
03/01/2019
Last updated
03/01/2019
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