Individual
BRANDON TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
458 E MAIN ST, MALONE, NY 12953-2149
(518) 891-3950
Mailing address
96 PLEASANT ST, MALONE, NY 12953-1707
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37342
NY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/05/2017
Last updated
10/20/2021
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