Individual
BRANDON JEVON NOEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3460 HAMPTON AVE STE 204, SAINT LOUIS, MO 63139-1938
(314) 669-6242
Mailing address
10265 BALTIMORE AVE, SAINT ANN, MO 63074-3840
(910) 548-3551
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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