MICHELLE M BRANTLEY

POMONA, CA
NPI1174725261
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  085742)
Enumeration Date2007-06-01
Last Update Date2007-07-08
Business Address
Miss MICHELLE M BRANTLEY
558 N TOWNE AVE
POMONA, CA 91767-4826
Phone number: 909-622-2273
Mailing Address
Miss MICHELLE M BRANTLEY
14412 HOMEWARD ST
LA PUENTE, CA 91744-2440
Phone number: 626-918-3139