Individual provider · Type 1 NPI

Michelle M. Brantley

Addiction (Substance Use Disorder) Counselor · Pomona, CA

NPI number 1174725261 Active

Practice location

558 N Towne Ave
Pomona, CA 91767-4826

Call (909) 622-2273 Map

Fax (909) 622-6334

Mailing address

14412 Homeward St
La Puente, CA 91744-2440

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X085742 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1174725261

Michelle M. Brantley's National Provider Identifier is 1174725261, issued on Jun 1, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pomona, CA. The record was last updated on Jul 8, 2007.