Individual
MS. WANDA FAYE BRANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC/MH
Contact information
Practice address
8012 NW 7TH PL APT 330, OKLAHOMA CITY, OK 73127-4871
(405) 410-4467
Mailing address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 948-4933
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
06/18/2013
Last updated
05/28/2020
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