Individual
BRANDIE NICOLE SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
6639 CENTURION DR STE 200, LANSING, MI 48917-8273
(231) 201-6565
Mailing address
6639 CENTURION DR STE 200, LANSING, MI 48917-8273
(231) 201-6565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401016251
MI
Other
Enumeration date
01/11/2018
Last updated
05/02/2024
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