Most Relevant Information
Provider Data
| NPI Number: | 1003386988 |
| Provider Name: | BRANDON MICHAEL ROBERTS M.ED., NCC, LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 77674 |
Most Important Dates
| Enumeration Date: | 12/04/2018 |
| Last Updated: | 02/24/2022 |
Provider Practice Location
1219 DALLAS ST
PORT NECHES
TX
776512908
Practice Location Phone/Fax
| Phone: | 4092345777 |
| Fax: | 8772504835 |
Provider Mailing Location
1219 DALLAS ST
PORT NECHES
TX
776512908
Provider Mailing Phone/Fax
| Phone: | 4092345777 |
| Fax: | 8772504835 |