Individual
CHRISTA MICHELLE BRANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1110 E MISSOURI AVE STE 760, PHOENIX, AZ 85014-2737
(602) 918-3560
Mailing address
4023 E BETSY CT, GILBERT, AZ 85296-9604
(928) 581-6034
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-19413
AZ
Other
Enumeration date
07/12/2022
Last updated
07/19/2022
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