Individual
BRANDISE RENEE LAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 NEAL ST, SUITE 202, COOKEVILLE, TN 38501-4333
(931) 525-6900
Mailing address
461 W 6TH ST, COOKEVILLE, TN 38501-1687
(931) 252-1011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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