Brandon Allen Dehaven
Brandon Allen Dehaven is a Counselor in Bishop, California. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1360 N Main StBishop, CA 93514-3013
Phone: (760) 872-2590
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1821781808 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 26, 2023 |
| Last updated in NPPES | May 26, 2023 |
| Certification date | May 26, 2023 |
| Mailing address | 1360 N Main St, Bishop, CA 93514-3013 |
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