Individual
BRANDI VANAMBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1310 W MAIN ST STE 101, RUSSELLVILLE, AR 72801-2803
(479) 968-2001
Mailing address
1310 W MAIN ST STE 201, RUSSELLVILLE, AR 72801-2803
(479) 968-2001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2306001
AR
Other
Enumeration date
06/05/2023
Last updated
06/19/2023
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