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General NPI Number Information
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NPI Number | 1891088506
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Entity Type | Individual
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Provider Name | TAMMI L. BRANDON MC, LPC, LIAC
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Gender | Female
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Dates
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Enumeration Date | 05/27/2011
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 3 COLLEGE WAY
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City | FRYEBURG
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State | ME
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Zip | 04037-4678
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Country | US
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Telephone | 602-430-1882
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Fax |
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Provider Business Mailing Address
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Address Line | 3 COLLEGE WAY
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City | FRYEBURG
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State | ME
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Zip | 04037-4678
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Country | US
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Telephone | 602-430-1882
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-12381
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LIAC-11695
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License Number State | AZ
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