Individual provider · Type 1 NPI

Braylen Kennedy Burdine

Mental Health Counselor · Brandon, MS

NPI number 1790519007 Active

Practice location

613 Marquette Rd
Brandon, MS 39042-3038

Mailing address

PO Box 88
Brandon, MS 39043-0088

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1790519007

Braylen Kennedy Burdine's National Provider Identifier is 1790519007, issued on Aug 28, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brandon, MS. The record was last updated on Aug 28, 2024.