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Ms. Mary Brantley
Addiction (Substance Use Disorder) Counselor in Riverside, California
NPI 1366742272

Mary Brantley is an Addiction (Substance Use Disorder) Counselor based in Riverside, CA and is specialized in Addiction (Substance Use Disorder). Mary Brantley practices in Riverside, CA. The NPI Number for Mary Brantley is 1366742272 and holds a License No. (California).

The current practice location address for Mary Brantley is 1485 Spruce St Ste L, Riverside, CA and can be reached out via phone at 981-682-5998.

Location: 1485 Spruce St Ste L, Riverside, CA, 92507-7421
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366742272
Provider Name
Mary Brantley
Credential
Provider Entity Type
Individual
Gender
Female
Address
1485 Spruce St Ste L, Riverside, CA, 92507-7421
Phone Number
981-682-5998
Fax Number
Provider Enumeration Date
10/25/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1485 Spruce St Ste L
City
Riverside
State
California
Zip
92507-7421
Phone Number
981-682-5998
Fax Number
person
Provider Business Mailing Address Details
Address
1485 Spruce St Ste L
City
Riverside
State
California
Zip
92507-7421
Phone Number
981-682-5998
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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