Individual
MR. BRANDON SCOTT BALLANTYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC. NCC, CCMHC
Contact information
Practice address
48 S 4TH ST, READING, PA 19602-1047
(610) 898-4392
(610) 898-4389
Mailing address
48 S 4TH ST, READING, PA 19602-1047
(610) 898-4392
(610) 898-4389
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC006442
PA
Other
Enumeration date
10/18/2012
Last updated
07/22/2021
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