Individual
KRISTENA BRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1004 TIMBERCREST DR, LOGANSPORT, IN 46947-1355
(190) 216-8956
Mailing address
1004 TIMBERCREST DR, LOGANSPORT, IN 46947-1355
(190) 216-8956
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3444
TN
Other
Enumeration date
09/03/2016
Last updated
09/03/2016
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