Individual
BRANDON JEREMY REGISTER
Active
Individual
BRANDON JEREMY REGISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY003591
GA
Other
Enumeration date
08/01/2012
Last updated
01/19/2024
Update your record
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