Individual
MICHAEL JUDE BRANDLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
65 MAIN ST, WELLS RIVER, VT 05081-3000
(802) 757-2325
(802) 757-3215
Mailing address
PO BOX 338, WELLS RIVER, VT 05081-0338
(802) 757-2325
(802) 757-3215
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0134355
VT
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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