Individual
BRANDON GOMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
26 E GERMANTOWN PIKE UNIT 553, PLYMOUTH MEETING, PA 19462-1555
(610) 800-7650
Mailing address
PO BOX 553, PLYMOUTH MEETING, PA 19462-0553
(610) 800-7650
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PC012823
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
PC012823
PA
101YM0800X
Mental Health Counselor
PC012823
PA
101YP2500X
Professional Counselor
Primary
PC012823
PA
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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