Individual
MR. WALTER BRANDON GANTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, CSAT
Contact information
Practice address
8650 MINNIE BROWN RD, MONTGOMERY, AL 36117-7803
(334) 324-6588
Mailing address
8396 TIMBER CREEK DR, PIKE ROAD, AL 36064-2276
(407) 739-1979
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC05194
AL
Other
Enumeration date
04/13/2021
Last updated
11/25/2024
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