Individual
BRANDON RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
304 N 6TH ST STE C, DEKALB, IL 60115-3484
(815) 375-5261
Mailing address
304 N 6TH ST STE C, DEKALB, IL 60115-3484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
09/22/2021
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