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Individual

BRANDON DESHAUN KELLUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2233 NOSTRAND AVE STE 3, BROOKLYN, NY 11210-3029
(718) 258-1714
Mailing address
2025 NOSTRAND AVE APT 2F, BROOKLYN, NY 11210-2549

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/26/2019
Last updated
09/26/2019
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