Individual
MR. BRANDON THOMAS HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, NCC
Contact information
Practice address
1909 COMMERCE AVE, CULLMAN, AL 35055-6151
(256) 734-4688
Mailing address
4040 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-4364
(256) 734-4688
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000014
—
AL
Enumeration date
03/06/2023
Last updated
03/06/2023
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