Individual
MR. BRANDON JAMES ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
52 MAIN ST, SUITE 2B, KINGSTON, NY 12401-3828
(845) 863-4588
Mailing address
52 MAIN ST, SUITE 2B, KINGSTON, NY 12401-3828
(834) 863-4588
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
004739
NY
Other
Enumeration date
11/18/2012
Last updated
04/15/2014
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