REGINALD ROZELL BRANTLEY

ORLANDO, FL
NPI1902334907
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL  MCAP100050)
Enumeration Date2017-06-02
Last Update Date2022-07-21
Business Address
REGINALD ROZELL BRANTLEY MCAP
37 N ORANGE AVE STE 500
ORLANDO, FL 32801-2459
Phone number: 407-488-1809
Mailing Address
REGINALD ROZELL BRANTLEY MCAP
37 N ORANGE AVE STE 500
ORLANDO, FL 32801-2459
Phone number: 407-488-1809