Individual
CHRISTA BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7923 BRINSON CT, CONVERSE, TX 78109-3642
(208) 695-4037
Mailing address
2098 TEXAS OAKS, SPRING BRANCH, TX 78070-6298
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
81723
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81723
TEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL
TX
Enumeration date
04/20/2021
Last updated
04/20/2021
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