What is Brandon Mcdonald's NPI number?

The NPI number assigned to this healthcare provider is 1992411789, enumerated as a individual on January 25, 2023.

Where is the provider located?

The provider is located at 12715 E MISSION AVE SPOKANE VALLEY, WA 99216 and the phone number is (509) 232-5766.

What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

BRANDON ANTHONY MCDONALD SUDPT - NPI 1992411789 - Counselor in Spokane Valley, WA

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About Brandon Anthony Mcdonald Sudpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON ANTHONY MCDONALD SUDPT (NPI 1992411789) is an individual addiction (substance use disorder) provider in Spokane Valley, Washington, licensed in Washington (CO61241154) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1992411789

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameBRANDON ANTHONY MCDONALDCredential: SUDPT

Location Address12715 E MISSION AVESpokane Valley, WA 99216-1027

Mailing Address3315 E Euclid AveSpokane, WA 99217-6938

Phone(509) 232-5766

Sole ProprietorYes

Enumeration DateJanuary 25, 2023

NPPES CertifiedJanuary 24, 2023

✔ NPI 1992411789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in WA · CO61241154

12715 E MISSION AVE, Spokane Valley, WA 99216

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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