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Organization

BRASON HOLISTICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRANDY SHIRLEY LCPC (BUSINESS OWNER/CEO)
(618) 964-4841
Entity
Organization

Contact information

Practice address
109 W JEFFERSON AVE, EFFINGHAM, IL 62401-2344
(812) 783-0447
Mailing address
10845 E KINGWOOD DR, EFFINGHAM, IL 62401-4348
(618) 964-4841

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
04/27/2021
Last updated
04/27/2021
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