Individual
MR. BRETT GLENN ALTHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
201 W PLYMOUTH AVE, DELAND, FL 32720-2753
(386) 873-2963
Mailing address
1120 TURNBULL ST, NEW SMYRNA BEACH, FL 32168-6040
(386) 402-5169
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SW9244
FL
1041C0700X
Clinical Social Worker
Primary
SW 9244
FL
Other
Enumeration date
10/07/2010
Last updated
03/04/2022
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