Brandon Edgar
Brandon Edgar is a Professional Counselor in Medford, Oregon. Licensed in Illinois and Oregon. Registered with an NPI since 2017.
- Licensed in
- IL, OR
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
107 E Main St Ste 2Medford, OR 97501-6022
Phone: (458) 225-0895
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence C4709 (OR) |
|---|---|
| Professional Counselor | Taxonomy 101YP2500X · Licence 178.011067 (IL) |
Record details
| NPI number | 1285169946 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 1, 2017 |
| Last updated in NPPES | December 21, 2023 |
| Certification date | December 21, 2023 |
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