Individual
BRANDON CHARLES HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC 2
Contact information
Practice address
7525 MID-IRON WAY, MASHPEE, MA 02649
(774) 521-5662
Mailing address
7525 MID-IRON WAY, MASHPEE, MA 02649
(774) 521-5662
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23149
MA
Other
Enumeration date
02/07/2024
Last updated
02/16/2024
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