Individual
BRANDON KEITH SHEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
151 N 5TH AVE, LONG BRANCH, NJ 07740-7201
(732) 272-4781
Mailing address
151 N 5TH AVE, LONG BRANCH, NJ 07740-7201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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