JASON BRANTLEY

FAIRBANKS, AK
NPI1689360893
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2023-04-12
Last Update Date2023-04-12
Business Address
JASON BRANTLEY
215 CUSHMAN ST
FAIRBANKS, AK 99701-4639
Phone number: 907-328-1566
Mailing Address
JASON BRANTLEY
PO BOX 73004
FAIRBANKS, AK 99707-3004
Phone number:
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