Koellish, Brandon

Koellish, Brandon is an sole proprietor health care provider with primary practice located at 20312 Rancho Villa Rd , Ramona CA 92065-7655. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Koellish, Brandon can be contacted via phone (858) 247-1536.

Contact Information

Primary practice address
20312 Rancho Villa Rd Ramona CA 92065-7655
Phone: (858) 247-1536
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1255068664
LBN Legal business name Koellish, Brandon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2022
Last updated Aug 5th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1255068664 NPPES
California Other 111662 CERTIFIED SEX ADDICTION COUNSELOR

Popular Providers