Individual
MRS. JANNETTE D BRANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMCH
Contact information
Practice address
1919 N PEARL ST STE C1, TACOMA, WA 98406-2490
(253) 752-1860
(253) 752-1890
Mailing address
1919 N PEARL ST STE C1, TACOMA, WA 98406-2490
(253) 752-1860
(253) 752-1890
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LH61021335
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
604598103
UBI
WA
Enumeration date
03/17/2020
Last updated
03/17/2020
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