Individual provider · Type 1 NPI
Brandon Edgar
Professional Counselor · Medford, OR
NPI number
1285169946
Active
Practice location
107 E Main St Ste 2
Medford, OR 97501-6022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 178.011067 (IL) |
| Professional Counselor Primary | 101YP2500X | C4709 (OR) |
Professional Counselor: Definition to come...
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About NPI 1285169946
Brandon Edgar's National Provider Identifier is 1285169946, issued on May 1, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Medford, OR. The record was last updated on Dec 21, 2023.