Organization
ANGELIA BRANTLEYLPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MARIE BRANTLEY LPC (OWNER)
(269) 274-1056
Entity
Organization
Contact information
Practice address
5345 SQUIRES MANOR RD, JACKSON, MI 49201-9721
(269) 274-1056
Mailing address
5345 SQUIRES MANOR RD, JACKSON, MI 49201-9721
(269) 274-1056
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/05/2022
Last updated
03/11/2022
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