Individual
BRANDON GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
718 BELLOWS WAY APT 301, NEWPORT NEWS, VA 23602-9656
(757) 803-1467
Mailing address
718 BELLOWS WAY APT 301, NEWPORT NEWS, VA 23602-9656
(757) 803-1467
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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