Provider Demographics
NPI:1801589015
Name:DELACRUZ, BRANDEE (LCPC)
Entity type:Individual
Prefix:
First Name:BRANDEE
Middle Name:
Last Name:DELACRUZ
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 11TH ST W
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-5427
Mailing Address - Country:US
Mailing Address - Phone:406-606-8911
Mailing Address - Fax:
Practice Address - Street 1:2526 GRAND AVE # LL
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-7111
Practice Address - Country:US
Practice Address - Phone:406-969-1015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-01
Last Update Date:2024-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MTBBH-LCPC-LIC-72498101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health