person
Jonathan Brandonisio, LGPC
Mental Health Counselor in Baltimore, Maryland
NPI 1356810972

Jonathan Brandonisio is a Mental Health Counselor based in Baltimore, MD and is specialized in Mental Health. Jonathan Brandonisio practices in Baltimore, MD and has the professional credentials of LGPC. The NPI Number for Jonathan Brandonisio is 1356810972 and holds a License No. LGP8180 (Maryland).

The current practice location address for Jonathan Brandonisio is 6999 Reisterstown Rd, Baltimore, MD and can be reached out via phone at 443-345-9674.

Location: 6999 Reisterstown Rd, Baltimore, MD, 21215-1430
person
Provider Profile Details
NPI Number
1356810972
Provider Name
Jonathan Brandonisio
Credential
LGPC
Provider Entity Type
Individual
Gender
Male
Address
6999 Reisterstown Rd, Baltimore, MD, 21215-1430
Phone Number
443-345-9674
Fax Number
Provider Enumeration Date
11/14/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
306665 05 MD
institution
Provider Business Practice Location Address Details
Address
6999 Reisterstown Rd
City
State
Zip
21215-1430
Phone Number
443-345-9674
Fax Number
person
Provider Business Mailing Address Details
Address
6999 Reisterstown Rd
City
State
Zip
21215-1430
Phone Number
443-345-9674
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LGP8180 (Maryland)
Definition
Definition to come...
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