Individual
MRS. MICHELLE RAE BRANDSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAC, LPCC, LADAC
Contact information
Practice address
PINON AND COTTONWOOD DRIVE, SHIPROCK, NM 87420
(505) 368-1438
(505) 368-1438
Mailing address
PO BOX 1830, SHIPROCK, NM 87420-1830
(505) 368-1467
(505) 368-1452
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0141981
NM
251S00000X
Community/Behavioral Health Agency
LH00007179
WA
Other
Enumeration date
04/04/2007
Last updated
07/12/2019
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