Individual provider · Type 1 NPI
Brandon Stavish
Mental Health Counselor · St. Cloud, MN
NPI number
1508412925
Active
Practice location
1321 13th St N
St. Cloud, MN 56303-2613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | CC02196 (MN) |
Mental Health Counselor: Definition to come...
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About NPI 1508412925
Brandon Stavish's National Provider Identifier is 1508412925, issued on Aug 12, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Cloud, MN. The record was last updated on Aug 12, 2019.