Provider Demographics
NPI:1346804499
Name:YEREBECK, BRANDON REESE (LPC)
Entity Type:Individual
Prefix:MR
First Name:BRANDON
Middle Name:REESE
Last Name:YEREBECK
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 HERON LOOP DR
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48855-6460
Mailing Address - Country:US
Mailing Address - Phone:734-255-9448
Mailing Address - Fax:
Practice Address - Street 1:745 S WALNUT ST
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-2579
Practice Address - Country:US
Practice Address - Phone:517-376-3002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-24
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401020305101YM0800X
MI6401017149101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health