Individual
MICHAEL LEE BRANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC-A
Contact information
Practice address
403 S HAWTHORNE RD, WINSTON SALEM, NC 27103-3784
(336) 716-0855
(336) 716-0822
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-9034
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A20038
NC
Other
Enumeration date
06/24/2024
Last updated
11/20/2024
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