Individual
BRANDON R BISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
440 FOX TOWN RD, CLINTWOOD, VA 24228-5077
(276) 926-1680
(276) 926-9179
Mailing address
PO BOX 309, CLINTWOOD, VA 24228-0309
(276) 926-1680
(276) 926-9179
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
071006576
VA
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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