Individual
AMANDA J BRANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5708 NW 132ND ST., OKLAHOMA CITY, OK 73142-4430
(405) 778-0757
(405) 835-3921
Mailing address
6908 NW 157TH ST, EDMOND, OK 73013-5839
(405) 204-6424
(405) 835-3921
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5385
OK
101YM0800X
Mental Health Counselor
8661
NC
101YM0800X
Mental Health Counselor
LH 60250393
WA
Other
Enumeration date
01/10/2012
Last updated
11/30/2021
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