Individual
BRANDON LEJUAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
909 PICO BLVD, SANTA MONICA, CA 90404
(310) 314-6200
(310) 450-2024
Mailing address
909 PICO BLVD, SANTA MONICA, CA 90404
(310) 314-6200
(310) 450-2024
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/24/2018
Last updated
07/20/2019
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