Provider Information for 1508400896
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BRANDON KAY EUBANKS MA, NCC, LPC
Sex: Male
NPI: 1508400896
Last Updated: 2022-06-21
Certification Date: 2022-06-21
Certification Date: 2022-06-21
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1508400896 | ||||||||||||
| Enumeration Date | 2019-10-30 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 3260 HOSPITAL DR JUNEAU, AK 99801-7808 United States Phone: 907-796-8900 | Fax: | ||||||||||||
| Primary Practice Address | 3260 HOSPITAL DR JUNEAU, AK 99801-7808 United States Phone: 907-796-8900 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 1650 S BRAGAW | ||||||||||||
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