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Brandon Ault
NPI 1972954204 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1424 Tacoma Ave S
Tacoma, WA 98402 - Phone
- (253) 405-5961
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Counselor
101Y00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-06-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington