BRANDON TIMOTHY ANTOSKOW

COLUMBIA, TN
NPI1255973863
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: TN  3546)
Enumeration Date2019-10-15
Last Update Date2025-05-29
Business Address
BRANDON TIMOTHY ANTOSKOW
1510 1/2 HATCHER LN
COLUMBIA, TN 38401-4825
Phone number: 931-548-6901
Mailing Address
BRANDON TIMOTHY ANTOSKOW
1510 1/2 HATCHER LN
COLUMBIA, TN 38401-4825
Phone number: 931-548-6901