Individual
ALEXANDRA BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 E RICHARDS ST, TYLER, TX 75702-6153
(903) 531-9455
Mailing address
1350 E RICHARDS ST, TYLER, TX 75702-6153
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
89830
TX
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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