Provider Information for 1245960780
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NATALIE LASSERRE BRANDA MS, LPC
Sex: Female
NPI: 1245960780
Last Updated: 2024-03-22
Certification Date: 2024-03-22
Certification Date: 2024-03-22
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1245960780 | ||||||||||||||||
| Enumeration Date | 2022-06-16 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 1617 FOUNTAIN VIEW DR APT 90 HOUSTON, TX 77057-2442 United States Phone: 713-518-9008 | Fax: | ||||||||||||||||
| Primary Practice Address | 1617 FOUNTAIN VIEW DR APT 90 HOUSTON, TX 77057-2442 United States Phone: 713-518-9008 | Fax: | ||||||||||||||||
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