Individual
BRANDON GARDENHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5504 WAYNE AVE, LUBBOCK, TX 79414-4137
(806) 855-3050
Mailing address
5504 WAYNE AVE, LUBBOCK, TX 79414-4137
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
205898
TX
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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