Individual
BRANDON EARL WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
5300 N PARK PL NE STE 115, CEDAR RAPIDS, IA 52402-6220
(319) 320-7506
Mailing address
1880 39TH ST, MARION, IA 52302-6145
(402) 650-6865
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
075160
IA
Other
Enumeration date
08/23/2017
Last updated
07/21/2022
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