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Brandon Waterbury
Mental Health Counselor in Richmond, Indiana
NPI 1376010173

Brandon Waterbury is a Mental Health Counselor based in Indianapolis, IN and is specialized in Mental Health. Brandon Waterbury practices in Richmond, IN. The NPI Number for Brandon Waterbury is 1376010173 and holds a License No. 39002851A (Indiana).

The current practice location address for Brandon Waterbury is 498 Nw 18Th St Bldg 416, Richmond, IN and can be reached out via phone at 765-914-3937.

Location: 498 Nw 18Th St Bldg 416, Richmond, IN, 46236-8596
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376010173
Provider Name
Brandon Waterbury
Credential
Provider Entity Type
Individual
Gender
Male
Address
498 Nw 18Th St Bldg 416, Richmond, IN, 46236-8596
Phone Number
765-914-3937
Fax Number
Provider Enumeration Date
10/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
498 Nw 18Th St Bldg 416
City
Richmond
State
Indiana
Zip
47374-2851
Phone Number
765-914-3937
Fax Number
person
Provider Business Mailing Address Details
Address
498 Nw 18Th St Bldg 416
City
Richmond
State
Indiana
Zip
47374-2851
Phone Number
765-914-3937
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
39002851A (Indiana)
Definition
Definition to come...
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