Individual
BRANDON J GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3765 S HIGUERA ST STE 100, SAN LUIS OBISPO, CA 93401-1577
(805) 781-3535
Mailing address
825 EL CAPITAN WAY, SAN LUIS OBISPO, CA 93401-8944
(805) 781-3535
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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