Wildish, Brandon Robert

Wildish, Brandon Robert is an sole proprietor health care provider with primary practice located at 26137 La Paz Rd Ste. 230, Mission Viejo CA 92691-5319. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Wildish, Brandon Robert can be contacted via phone (949) 595-8610.

Contact Information

Primary practice address
26137 La Paz Rd Ste. 230 Mission Viejo CA 92691-5319
Phone: (949) 595-8610
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1811231640
LBN Legal business name Wildish, Brandon Robert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2012
Last updated Nov 16th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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