Individual
MR. CLIFTON EUGENE BRANTLEY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
11200 BROADWAY ST STE 2743, PEARLAND, TX 77584-9787
(832) 562-0482
Mailing address
11200 BROADWAY ST STE 2743, PEARLAND, TX 77584-9787
(832) 562-0482
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
202481
TX
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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