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BRANDON GIOSTRA LCSW

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1871168955

Individual Registrant:
 BRANDON  GIOSTRA LCSW
Gender: M
Sole Proprietor

Location and contact information for practice:
500 NE 2ND ST APT 124  DANIA BEACH, FL 33004-3372 US
Tel: 786-444-2061  Fax: --

Contact information for business:
500 NE 2ND ST APT 124  DANIA BEACH, FL 33004-3372 US
Tel: --  Fax: --

Registration Information:
NPI: 1871168955
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
FL

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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