Individual
BRANDON TIMOTHY ANTOSKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1510 1/2 HATCHER LN, COLUMBIA, TN 38401-4825
(931) 548-6901
Mailing address
1510 1/2 HATCHER LN, COLUMBIA, TN 38401-4825
(931) 548-6901
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
3546
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3717679
—
TN
Enumeration date
10/15/2019
Last updated
05/29/2025
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