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1821815036
JUSTIN KYLE BRANTLEY
SAN ANTONIO, TX
NPI
1821815036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 89386)
Enumeration Date
2024-09-20
Last Update Date
2024-09-20
Business Address
JUSTIN KYLE BRANTLEY LPC
2939 W WOODLAWN AVE
SAN ANTONIO, TX 78228-5015
Phone number: 210-212-2500
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Mailing Address
JUSTIN KYLE BRANTLEY LPC
20236 JOVE OAK
SAN ANTONIO, TX 78259-4407
Phone number: 210-862-3734
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