Provider Information for 1801589015
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BRANDEE DELACRUZ LCPC
Sex: Female
NPI: 1801589015
Last Updated: 2024-09-01
Certification Date: 2024-09-01
Certification Date: 2024-09-01
Details
Name | Value | ||||||||||||
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NPI | 1801589015 | ||||||||||||
Enumeration Date | 2023-06-01 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 511 11TH ST W BILLINGS, MT 59102-5427 United States Phone: 406-606-8911 | Fax: | ||||||||||||
Primary Practice Address | 2526 GRAND AVE # LL BILLINGS, MT 59102-7111 United States Phone: 406-969-1015 | Fax: | ||||||||||||
Secondary Practice Address(es) | 511 11TH ST W | ||||||||||||
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