Brandon Koellish is a Counselor based in Ramona, CA. Brandon Koellish practices in Ramona, CA. The NPI Number for Brandon Koellish is 1255068664 and holds a License No. (California).
The current practice location address for Brandon Koellish is 20312 Rancho Villa Rd, Ramona, CA and can be reached out via phone at 858-247-1536.
Location: 20312 Rancho Villa Rd, Ramona, CA, 92065-7655
Provider Profile Details
NPI Number
1255068664
Provider Name
Brandon Koellish
Credential
Provider Entity Type
Individual
Gender
Male
Address
20312 Rancho Villa Rd, Ramona, CA, 92065-7655
Phone Number
858-247-1536
Fax Number
Provider Enumeration Date
08/05/2022
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111662 | 01 | CA | CERTIFIED SEX ADDICTION COUNSELOR |
Provider Business Practice Location Address Details
Address
20312 Rancho Villa Rd
City
State
Zip
92065-7655
Phone Number
858-247-1536
Fax Number
Provider Business Mailing Address Details
Address
20312 Rancho Villa Rd
City
State
Zip
92065-7655
Phone Number
858-247-1536
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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