Individual
CHARLES BRANDON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 ONTARIO ST APT 203, OAK PARK, IL 60302-1954
(773) 977-6880
Mailing address
1120 ONTARIO ST APT 203, OAK PARK, IL 60302-1954
(773) 977-6880
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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