Individual
ISAAC BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1530 MONTERREY STREET, SAN LUIS OBISPO, CA 93401
(805) 303-3291
Mailing address
1231 GARDEN ST APT 1, SAN LUIS OBISPO, CA 93401-3957
(208) 596-2655
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
32896
CA
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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