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BRANDON JEREMY REGISTER PH.D.

Counseling >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1285980862

Individual Registrant:
 BRANDON JEREMY REGISTER PH.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
63 SPRING STATION DRIVE  FRANKLIN SPRINGS, GA 30639 US
Tel: 706-248-1524  Fax: --

Contact information for business:
PO BOX 96  FRANKLIN SPRINGS, GA 30639-0096 US
Tel: 706-248-1524  Fax: --

Registration Information:
NPI: 1285980862
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC1900XBehavioral Health & Social Service Providers
Psychologist
Counseling

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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