Individual
BRANDON NICHOLAS ELEFANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
322 DEPOT AVE, DIXON, IL 61021-2850
(815) 288-6057
Mailing address
322 DEPOT AVE, DIXON, IL 61021-2850
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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