Individual
BRANDON HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1060 HOWARD ST, SAN FRANCISCO, CA 94103-2820
(415) 579-4552
(415) 864-4530
Mailing address
1060 HOWARD ST, SAN FRANCISCO, CA 94103-2820
(415) 579-4552
(415) 864-4530
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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