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BRANDON STAVISH
Mental Health Counselor
NPI: 1508412925IndividualAccepts Medicare
Specialties, Licenses & Credentials
Mental Health CounselorPrimary
Counselor — Mental Health
Code: 101YM0800X
CC02196(MN)
CMS Specialties
PrimaryMENTAL HEALTH COUNSELOR
Education
OTHER
Class of 2016
Contact & Hours
- Address
- 1321 13TH ST N
SAINT CLOUD, MN 56303 - Phone
- (320) 202-2060
Quick Facts
- NPI
- 1508412925
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 10
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