Individual
MR. BRANDON MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
62226 COUNTY ROAD 15, GOSHEN, IN 46526-9438
(574) 875-5117
Mailing address
22436 BREAKWATER DR APT 3A, ELKHART, IN 46516-8998
(570) 702-1772
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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