Individual
BRANDON HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS CANDIDATE
Contact information
Practice address
920 W CUSTER AVE, PONTIAC, IL 61764-1067
(815) 844-6109
(815) 844-3561
Mailing address
PO BOX 768, PONTIAC, IL 61764-0768
(815) 844-6109
(815) 844-3561
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/11/2017
Last updated
09/10/2021
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