Individual
BRANDON OSTWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPCA
Contact information
Practice address
913 N CAROLINA AVE, STATESVILLE, NC 28677-3414
(704) 871-0934
(704) 871-9419
Mailing address
221 HICKS CREEK RD, TROUTMAN, NC 28166-8667
(704) 929-8270
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A13294
NC
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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