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Individual

KATY BRANDENBURG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
32 PEA PL, KULA, HI 96790-8302
(831) 425-8132
Mailing address
PO BOX 1094, MAKAWAO, HI 96768-1094
(805) 705-9671

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
109565
CA
101YM0800X
Mental Health Counselor
Primary
MHC-960
HI

Other

Enumeration date
01/23/2019
Last updated
07/11/2023
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