Individual
BETH LOUISE BRANTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED./LAC/LPCC
Contact information
Practice address
1115 9TH ST N, MOORHEAD, MN 56560-1511
(701) 429-4866
Mailing address
1115 9TH ST N, MOORHEAD, MN 56560-1511
(701) 429-4866
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
348-3-1-96-108
ND
101YP2500X
Professional Counselor
Primary
CC000625
MN
Other
Enumeration date
03/03/2011
Last updated
08/29/2025
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