Brandon Ault is a Counselor based in Tacoma, WA. Brandon Ault practices in Tacoma, WA. The NPI Number for Brandon Ault is 1972954204 and holds a License No. CG60617999 (Washington).
The current practice location address for Brandon Ault is 1424 Tacoma Ave S, Tacoma, WA and can be reached out via phone at 253-405-5961.
Location: 1424 Tacoma Ave S, Tacoma, WA, 98405-2461
Provider Profile Details
NPI Number
1972954204
Provider Name
Brandon Ault
Credential
Provider Entity Type
Individual
Gender
Male
Address
1424 Tacoma Ave S, Tacoma, WA, 98405-2461
Phone Number
253-405-5961
Fax Number
Provider Enumeration Date
06/28/2016
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG60617999 | 01 | WA | AGENCY AFFILIATED |
Provider Business Practice Location Address Details
Address
1424 Tacoma Ave S
City
State
Zip
98402-1907
Phone Number
253-405-5961
Fax Number
Provider Business Mailing Address Details
Address
1424 Tacoma Ave S
City
State
Zip
98402-1907
Phone Number
253-405-5961
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
CG60617999 (Washington)
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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