ANDREW BRANTLEY CARROLL

JACKSONVILLE, FL
NPI1609387455
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-10-19
Last Update Date2017-10-19
Business Address
ANDREW BRANTLEY CARROLL MS
435 CLARK RD
JACKSONVILLE, FL 32218-5596
Phone number: 904-765-0665
Mailing Address
ANDREW BRANTLEY CARROLL MS
1972 WAGES WAY S
JACKSONVILLE, FL 32218-8062
Phone number: 904-400-1080