Individual
BRANDY ST JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
424 HAMILTON BLVD, SOUTH BOSTON, VA 24592-5200
(434) 572-4863
(434) 572-4978
Mailing address
PO BOX 1478, CLARKSVILLE, VA 23927-1478
(434) 572-6916
(434) 374-3321
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006492
VA
Other
Enumeration date
12/13/2012
Last updated
03/08/2016
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