Individual
BRANDON GERRY HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCC TRAINEE
Contact information
Practice address
3767 CENTRAL AVE, SAN DIEGO, CA 92105-2599
(619) 278-0777
Mailing address
6803 ARVERNE CT, SAN DIEGO, CA 92111-3309
(858) 752-2952
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013045905
—
CA
Enumeration date
11/02/2021
Last updated
11/02/2021
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