Individual
BRANDY TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
236 GEORGIA ST, VALLEJO, CA 94590-5991
(510) 318-6112
Mailing address
236 GEORGIA ST, VALLEJO, CA 94590-5991
(510) 318-6112
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
10/03/2014
Last updated
06/02/2016
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