Individual
BRANDON SWAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1712 STATE ROUTE 121 BYP N STE I, MURRAY, KY 42071-8925
(270) 761-5804
(270) 761-5807
Mailing address
1712 STATE ROUTE 121 BYP N STE I, MURRAY, KY 42071-8925
(270) 761-5804
(270) 761-5807
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCPCC00223169
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPCPCC00223169
PROFESSIONAL LICENSE NUMBER
KY
Enumeration date
12/17/2015
Last updated
12/17/2015
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