Individual
MRS. RENA JANE BRANTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1428 WEATHERLY RD SE, SUITE 102, HUNTSVILLE, AL 35803-1181
(256) 881-0704
(256) 883-7833
Mailing address
1428 WEATHERLY RD SE, SUITE 102, HUNTSVILLE, AL 35803-1181
(256) 881-0704
(256) 883-7833
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
01227
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071724
VALUE OPTIONS PROV
AL
01
—
1131460
CIGNA BEHAV HEALTH
AL
01
—
210472
VALUE BEHAV HEALTH
AL
01
—
62 28999
UBH PROV
AL
01
—
MAGELLAN
MIS#
AL
Enumeration date
07/11/2006
Last updated
07/09/2007
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