Individual
MS. JILL A. BRABANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
28 WILLIAM ST., GOUVERNEUR, NY 13642-1405
(315) 287-2811
(315) 287-4743
Mailing address
2634 CAPITOL CIRCLE NE, APALACHEE CENTER, TALLAHASSEE, FL 32308
(850) 523-3333
(850) 523-3413
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
003670
NY
101YM0800X
Mental Health Counselor
003670-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401307-1
NY
Other
Enumeration date
10/19/2006
Last updated
02/18/2015
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