Brandon Allen Dehaven

NPI #1821781808 in Bishop, California

Provider Information

NPI Number: 1821781808
Entity Type: Individual
Name: Brandon Allen Dehaven
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: May 26, 2023
Last Updated: May 26, 2023

Practice Location

Address: 1360 N MAIN ST
City: Bishop
State: California
ZIP Code: 93514-3013
Phone: (760) 872-2590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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