Provider Demographics
NPI:1871073023
Name:BARRITT, BRANDALYNN S (CADC)
Entity type:Individual
Prefix:
First Name:BRANDALYNN
Middle Name:S
Last Name:BARRITT
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:BRANDALYNN
Other - Middle Name:
Other - Last Name:BUCHANAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1267 W CEDAR LOOP
Mailing Address - Street 2:
Mailing Address - City:CHEROKEE
Mailing Address - State:IA
Mailing Address - Zip Code:51012-1572
Mailing Address - Country:US
Mailing Address - Phone:712-225-2421
Mailing Address - Fax:712-225-2421
Practice Address - Street 1:1267 W CEDAR LOOP
Practice Address - Street 2:
Practice Address - City:CHEROKEE
Practice Address - State:IA
Practice Address - Zip Code:51012-1572
Practice Address - Country:US
Practice Address - Phone:712-225-2421
Practice Address - Fax:712-225-2421
Is Sole Proprietor?:No
Enumeration Date:2018-08-17
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA18047101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)