Individual
BRANDY KING SCHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMHC, REAT, NCC
Contact information
Practice address
122 N 4TH ST STE 2022, LAKE MARY, FL 32746-2944
(407) 502-0189
Mailing address
445 AUTUMN OAKS PL, LAKE MARY, FL 32746-4848
(407) 502-0189
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH16011
FL
Other
Enumeration date
02/21/2018
Last updated
02/19/2020
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