Individual
BRANDON JERMAINE SWAILS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
73 LENOX AVE, NEW YORK, NY 10026-3007
(212) 663-1975
(212) 663-1323
Mailing address
73 LENOX AVE, NEW YORK, NY 10026-3007
(212) 663-1975
(212) 663-1323
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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