Individual
TAMMI L. BRANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC, LPC, LIAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LIAC-11695
AZ
101YP2500X
Professional Counselor
Primary
LPC-12381
AZ
Other
Enumeration date
05/27/2011
Last updated
09/29/2025
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