Individual
CHANDRA J BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC, MA, CAC-I
Contact information
Practice address
5372 FREDERICKSBURG RD BLDG F, SAN ANTONIO, TX 78229-3558
(210) 261-1600
(210) 615-5721
Mailing address
6800 PARK TEN BLVD STE 200S, SAN ANTONIO, TX 78213-4293
(210) 261-1060
(210) 261-1821
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0007021
CO
101YP2500X
Professional Counselor
0012564
CO
101YP2500X
Professional Counselor
Primary
83508
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346711900
GROUP PRACTICE
CO
Enumeration date
08/19/2015
Last updated
01/19/2024
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