Individual
BRANDON MAYBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
224 TWIN LAKE RD, SOMERSET, PA 15501-7727
(814) 443-3639
Mailing address
601 CHURCH ST, GALLITZIN, PA 16641-1307
(814) 660-4675
(814) 660-4675
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
PA
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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