Larry J Brandon
Larry J Brandon is a Community/Behavioral Health Agency in Tempe, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
1575 W University Dr Ste 111Tempe, AZ 85281-3283
Phone: (480) 687-9009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X · Licence CSLG12168 (AZ) |
Record details
| NPI number | 1023723475 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 19, 2023 |
| Last updated in NPPES | January 19, 2023 |
| Certification date | January 19, 2023 |
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