Individual
BRANDY BURNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLP, LPC, NCC
Contact information
Practice address
2019 RAMBLING RD, KALAMAZOO, MI 49008-1630
(269) 345-0909
(269) 345-4985
Mailing address
2019 RAMBLING RD, KALAMAZOO, MI 49008-1630
(269) 345-0909
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401018204
MI
103T00000X
Psychologist
Primary
6301017311
MI
Other
Enumeration date
02/09/2018
Last updated
09/16/2020
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