Individual
BRANDON E PREMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPSY, LMHC, SUDP
Contact information
Practice address
375 118TH AVE SE STE 204, BELLEVUE, WA 98005-3525
(206) 619-7829
Mailing address
3213 HARBOR AVE SW STE 1, SEATTLE, WA 98126-4600
(206) 619-7829
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LH60270904
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60327801
WA
101YM0800X
Mental Health Counselor
LH60270904
WA
103TC0700X
Clinical Psychologist
Primary
PY.61459940
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2071806
—
WA
Enumeration date
01/20/2011
Last updated
04/14/2026
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