Individual
REGINALD ROZELL BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MCAP
Contact information
Practice address
37 N ORANGE AVE STE 500, ORLANDO, FL 32801-2459
(407) 488-1809
(407) 236-0826
Mailing address
37 N ORANGE AVE STE 500, ORLANDO, FL 32801-2459
(407) 488-1809
(407) 236-0826
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MCAP100050
FL
Other
Enumeration date
06/02/2017
Last updated
07/21/2022
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